Senior Executive - Coding Auditor
ChennaiFull-time20–30 yrsPosted 2 weeks ago
Leadership audit role at EXL in Chennai. Needs 20+ years and a degree.
About the role
Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology , CMS guidelines, and official coding rules when determining DRG assignment. Verify accuracy and specificity of diagnoses, procedures, POA indicators, and discharge disposition , ensuring documentation supports all coding decisions.
What you'll do
- 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
What you need
- Excel
- Financial statements
- Audit
- LLMs
- Data analysis
- NLP
Good to have
- SOP writing
- Medical coding