EXL
Choosing a digital partner is about more than capabilities — it’s about collaboration and character.
10,000+ employees
💰 $2M Venture Round on 2015-01
Auditor III, Healthcare
October 28
EXL
Choosing a digital partner is about more than capabilities — it’s about collaboration and character.
10,000+ employees
💰 $2M Venture Round on 2015-01
📋 Description
• Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement. • Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. • Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. • Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. • Meet or exceed EXL’s quality and productivity standards, including strong uphold rates for appeals. • Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. • Adhere to HIPAA and EXL policies and procedures to ensure data security and regulatory compliance.
🎯 Requirements
• Minimum High School Diploma (Higher education preferred). • CCS, RHIA, or RHIT credential (Multiple credentials preferred). • 4+ years of MS-DRG/APR-DRG coding experience with a deep understanding of AHA Coding Guidelines and DRG reimbursement methodologies. • Prior experience in DRG retrospective overpayment identification auditing is highly desirable. • Strong proficiency with DRG encoder tools (3M, Webstrat).
🏖️ Benefits
• A fast-paced, innovative environment with a team of industry-leading experts. • Hands-on experience with top-tier clients in the healthcare industry. • Mentorship and career development programs to help you grow professionally. • A strong culture of collaboration, support, and inclusivity. • Competitive benefits package, including healthcare, vision, dental, and 401(k) options.
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