Senior Executive - Coding Auditor

EXL · IT Services & Consulting

Chennai, Tamil Nadu, India
On-site
Posted today
Healthcare & Life Sciences

About the job

Senior Surgery Coder (CPC-certified) and Certified USRN (Active NCLEX) with 3+ years of post-certification experience in outpatient multi-specialty coding, including injection and infusion, IVR, and radiation oncology. Brings added expertise in APC facility coding along with strong communication skills, flexibility, and reliability.

Skills and abilities:

Performs clinical validation audits and interpretation of medical documentation to ensure capture of all relevant coding.

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 on a daily basis.

Check with Manager /TL in case of clarifications

All emails from Manager should be answered promptly without fail

Problem solving skill sets

Ensure compliance of entire team for HIPAA, OIG

Bachelor’s degree (or equivalent) in Nursing.

NCLEX certification – Active (USRN)

Able to apply analytical and critical thinking to record reviews.

Required comprehensive clinical knowledge and strong clinical experience.

All certifications/License should be active.

Life science/Paramedical Degree

CPC/CPMA

Computer skill sets

Experience:

USRN + CPC+ 3 years' experience in multi-specialty surgery coding including IVR, General surgery, Infusion and Injection and Radiation oncology

Auditing and denial management experience (Optional)

Communication Skill:

Strong written (documentation) and oral communication skills

Working Hours:

40 hours per week as Full-time employee

Shift time: 8:00 PM IST - 5:00 PM IST(It might be changed based on project requirements)

Weekends Off

Telecommuter/Internet requirements, if applicable:

High Speed internet connection at home, must be broadband

Must understand and adhere with telecommuter policy.

Apply on EXL