Senior Executive - Coding Auditor
Summary
Audits medical coding accuracy for inpatient diagnoses using DRG systems, ensuring compliance with healthcare regulations like HIPAA and OIG.
Skills and abilities:
• 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 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, daily
• Check with Manager /TL in case of clarifications
• All emails from Manager should be answered promptly without fail
• Ensure compliance of entire team for HIPAA, OIG
• Good excel skills
• Flexibility
• Good Communication
- Qualifications: Bachelors in nursing (preferable) / Bachelors in science.
- Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder
- Experience: Minimum 2 years’ experience in IP DRG coding or auditing.
- Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEE