- 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 and Essential Functions:
- 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.

- QC check
- 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

Qualifications

- Education - Bachelor’s Degree in Science or Nursing.
- CPC/CPMA; Min. 3+ Years experience After Certification

1. 4 years to 12 years’ experience in medical coding IVR and General surgery

2. Working in Quality team is an added advantage.
3. Minimum 5 years of experience in Inpatient DRG coding or auditing.
4. Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role.

5. Preferred Qualifications (Desirable Criteria)
6. Prior experience conducting IP DRG quality audits.
7. Hands-on exposure to 3M encoder software and NLP tools.
8. Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting.

9. Experience working in SLA-driven, high-compliance healthcare environments.

Communication: Robust written (documentation) and oral communication skills

Working Hours

1. 40 hours per week as Full-time employee

2. Shift time: 08:00AM TO 05:00PM IST
3. Weekends Off

Telecommuter/Internet requirements, if applicable:
1. High Speed internet connection at home, must be broadband
2. Must understand and adhere with telecommuter policy

📌 Assistant Manager-Auditors-DRG (Chennai)
🏢 EXL Talent Acquisition Team
📍 Chennai