3838844-Senior Executive

EXL; Chennai District; On-site; INR 600,000 - 800,000; Full time

Job summary

A healthcare auditing firm in Chennai is seeking a DRG Auditor to conduct thorough reviews of inpatient medical records. The ideal candidate will have at least 2 years of experience in IP DRG coding/auditing, with a preference for those with a background in Nursing or Science. Key responsibilities include mentoring other coders and ensuring compliance with coding standards. The role offers full-time employment with training provided in the office and is crucial for maintaining quality and accuracy in medical coding.

Qualifications

• Minimum 2 years’ experience in IP DRG coding or auditing, preferably 3 years.
• Mandatory certification CCS and knowledge of IPPS methodology required.
• Bachelor’s degree in Nursing or Science is preferable.

Responsibilities

• Perform in-depth reviews of inpatient medical records.
• Mentor and train other coders and provide feedback.
• Ensure compliance with HIPAA and OIG regulations.

Skills

Auditing experience on IP DRG

Knowledge in Microsoft Outlook/Excel/Word

Good communication

Flexibility

Education

Bachelor’s in Nursing or Science

Certification: CCS

Certified Coding Specialist (CIC)

Certified Inpatient Coder

Tools

3M software

NLP tool

Job description

Overview

The DRG 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, the discharge disposition and the POA are correct. Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders and providing ongoing feedback and education to coding staff and Clinical Documentation Specialists.

Qualifications

• Bachelor’s in Nursing preferable / Bachelor’s in Science
• Certification: Mandatory CCS
• Certified Coding Specialist (CIC)
• Certified Inpatient Coder

Experience & Working Hours

Minimum 2 years’ experience in IP DRG coding or auditing, preferably 3 years. 40 hours per week, full‑time employee. Training from office.

Mandatory & Skills

• 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
• Achieve quality and production target
• Follow project related protocols and instructions
• Escalate issues, identify trends
• Update all logs like productivity, clarification log, and any other logs applicable, daily
• Check with Manager/TL in case of clarifications
• Answer all emails from Manager promptly without fail
• Ensure compliance of entire team for HIPAA, OIG
• Good Excel skills
• Flexibility
• Good communication