Executive - Coding Auditor

EXL Service; Indiana (PA); On-site; USD 60,000 - 90,000; Full time

Job summary

EXL Service invites applications for an IP DRG auditing/coding role to join our healthcare quality team in the U.S. You will follow SOPs, complete audits with quality, and help meet HIPAA compliance targets.

We seek 2+ years of IP DRG coding or auditing experience, with CCS/CIC credentials preferred. Strong Excel skills required. This is a full-time on-site position with 40 hours per week.

Qualifications

• Bachelor's degree in nursing or science is preferred.
• CCS and CIC certifications are mandatory or preferred.
• Minimum 2 years’ IP DRG coding or auditing experience.

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

Skills

Auditing experience on IP DRG

Microsoft Outlook/Excel/Word

3M software

NLP tool

Education

Bachelor's degree in nursing

Bachelor's degree in science

CCS - Certified Coding Specialist

CIC - Certified Inpatient Coder

Tools

3M software

NLP tool

Job description

Job Description: Skills and abilities

• Auditing experience on IP DRG.
• Knowledge in Microsoft outlook/excel/word.
• Exposure on 3M software and NLP tool.

Responsibilities: 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

Qualifications

• Qualifications: Bachelors in nursing (preferable) / Bachelors 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