Job Description: 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
- Responsibilities: Perform comprehensive secondary quality audits on inpatient medical records reviewed by DRG Auditors.
- Validate accuracy of principal and secondary diagnoses, procedures, POA indicators, discharge disposition, and final DRG assignment.
- Ensure compliance with IPPS regulations, ICD-10-CM/PCS guidelines, official coding conventions, and payer/client-specific requirements .
- Adhere strictly to all Standard Operating Procedures (SOPs) without deviation.




- Ensure 100% compliance with HIPAA and data security standards at all times.

Use quality tools, 3M software, NLP tools, and internal systems effectively for audit and reporting activities.
- Demonstrate strong working knowledge of Microsoft Excel, Outlook, and Word for documentation and reporting.
- Follow all project-specific protocols, workflows, and client instructions.

Qualifications: Education - Bachelor’s Degree in Science or Nursing.

Certifications

One or more of the following mandatory certifications:

CCS – Certified Coding Specialist

CIC – Certified Inpatient Coder

CPC – Certified Qualified Coder

Experience -

Minimum 5 years of experience in Inpatient DRG coding or auditing .

Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role .

Preferred Qualifications (Desirable Criteria)

Prior experience conducting IP DRG quality audits .

Hands-on exposure to 3M encoder software a

📌 Senior Executive (Chennai)
🏢 EXL Service
📍 Chennai