Medical Coding Lead with IP DRG Expertise
1 month ago
Job Summary:
We are seeking a seasoned Medical Coding Lead to join our team at EXL. As a key member of our coding team, you will be responsible for leading the review and analysis of IP DRG audit data, creating presentations, developing process manuals, and producing high-quality training materials.
About Us:
EXL is a global leader in healthcare management and technology solutions. We empower healthcare organizations to improve patient outcomes, reduce costs, and enhance operational efficiency.
Responsibilities:
- Lead the review and analysis of IP DRG audit data to identify trends, patterns, and areas for improvement
- Create comprehensive presentations and reports to communicate findings to stakeholders
- Develop and maintain process manuals, handbooks, and other training materials to ensure compliance with industry standards
- Collaborate with cross-functional teams to design and implement data-driven solutions to improve coding accuracy and efficiency
- Stay up-to-date with industry developments, regulatory changes, and best practices in medical coding and IP DRG auditing
Requirements:
- Bachelor's degree in Nursing or related field (M.Sc. or Diploma in Nursing preferred)
- Minimum 10 years of experience in medical coding, with at least 5 years in IP DRG coding or auditing
- Certifications in CPC, CCS, or CIC (Certified Professional, Certified Coding Specialist, or Certified Inpatient Coder)
- Excellent analytical, problem-solving, and communication skills
- Strong project management skills, with experience in multi-tasking and prioritization
Preferred Skills:
- Experience with Microsoft Office (Excel, Word, PowerPoint), 3M software, and NLP tools
- Knowledge of payer processes and reimbursement models
- Familiarity with data analytics and reporting tools
- Ability to work in a fast-paced environment and meet deadlines
What We Offer:
- A competitive salary range: $120,000 - $180,000 per annum
- A comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off
- Opportunities for professional growth and development in a dynamic and innovative company
- A collaborative and supportive work environment with a diverse team of experts
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