Senior Executive

2 weeks ago

Chennai Tamil Nadu, India EXL Service Full time

JOB DESCRIPTIONThe DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical records to ensure that the DRG Auditor validated the billed diagnoses POA procedures discharge disposition and DRG codes in accordance with the medical record documentation and in compliance with IPPS methodology Quality Analyst is responsible for mentoring and training the DRG Auditors to reach the quality SLA Provide ongoing feedback and education to coding staff ESSENTIAL CRITERIA Bachelors in science Bachelors in nursing Certified - CCS - Certified Coding Specialist CIC - Certified Inpatient Coder CPC - Certified Professional Minimum 5 years experience in IP DRG coding or auditing Minimum 1- 2 years experience in Quality DESIRABLE CRITERIA 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 for quality review and ensure quality output To achieve Quality SLA and quality production target Excellent verbal and written communication Follow project related protocols and instructions Escalate issues identify error trends Update all the required monitoring trackers All emails from Leads Manager should be answered promptly without fail Ensure to adhere with HIPAA compliance Good excel skills Flexibility Good Communication

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