Senior Executive EXL IT service management

2.0 - 4.0 years

0 Lacs

Chennai, Tamil Nadu, India

On-site

Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minimum 2 years experience in IP DRG coding or auditing. Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEE Skills and abilities: . Auditing experience on IP DRG. . Knowledge in Microsoft outlook/excel/word. . Exposure on 3M software and NLP tool. ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: . Follow every aspect of SOP without fail . Complete received Audits with Quality . To achieve Quality and production target . Follow project related protocols and instructions . Escalate issues, identify trends... . Update all the logs like productivity, Clarification log, and any other logs applicable, daily . Check with Manager /TL in case of clarifications . All emails from Manager should be answered promptly without fail . Ensure compliance of entire team for HIPAA,OIG . Good excel skills . Flexibility . Good Communication

Posted 2 weeks ago

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EXL is hiring IPDRG - Medical Coders EXL

2.0 - 6.0 years

0 Lacs

chennai, tamil nadu

On-site

The DRG Auditor role involves conducting a thorough review of specific inpatient medical records to verify that the assigned codes and DRG are well-supported by clinical documentation. It is crucial to ensure that all diagnoses and procedures are accurately coded with the necessary specificity, and that the discharge disposition and the POA are correct. Proficiency in IPPS methodology is a prerequisite. Additionally, this position entails mentoring and training other coders, along with providing continuous feedback and education to coding staff and Clinical Documentation Specialists. The ideal candidate for this role should possess a Bachelor's degree in nursing or a Bachelor's degree in science. Mandatory certifications include CCS (Certified Coding Specialist) and CIC (Certified Inpatient Coder). A minimum of 2 years of experience in inpatient DRG coding or auditing is required for this position. The standard working hours for this role are 40 hours per week, making it a full-time employment opportunity. Key Skills and Abilities for this role include: - Proficiency in auditing experience related to inpatient DRG coding. - Familiarity with Microsoft Outlook, Excel, and Word. - Exposure to 3M software and NLP tools. Additional responsibilities include: - Adhering to all aspects of Standard Operating Procedures (SOP). - Completing audits with high quality. - Meeting quality and production targets. - Following project-specific protocols and instructions. - Identifying trends and escalating issues as necessary. - Updating productivity logs, clarification logs, and any other relevant logs on a daily basis. - Seeking clarification from the Manager/TL when needed. - Promptly responding to all emails from the Manager. - Ensuring team compliance with HIPAA and OIG regulations. - Possessing good Excel skills. - Demonstrating flexibility and strong communication abilities. If you meet the qualifications and requirements for this role, please send your CV to karan.kinger@exlservice.com.,

Posted 4 weeks ago

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