EXL

Analyzes business data and runs outsourced operations

Senior Executive - Coding Auditor

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeChennai, Tamil Nadu, IndiaNo salary listedIn-person

About the Job

Requirements

CPC, CRC, or CCS certification and an active coding license without apprentice status.
A minimum of 2–3 years of experience in HCC risk adjustment coding; HCC coding experience is mandatory.
Thorough knowledge of ICD-9 and ICD-10 coding.
Experience in prospective, concurrent, or retrospective risk adjustment coding.
Good working knowledge of Microsoft Office, especially Excel and PowerPoint.
Flexibility with shift timing and willingness to provide additional support based on process requirements.
Strong written documentation and oral communication skills.
Thorough clinical knowledge of chronic conditions, medical-record interpretation, signs and symptoms, and the MEAT/TAMPER concept.
Strong personal and professional ethics.
Strong analytical, problem-identification, and process-analysis skills, including the ability to envision solutions from requirements.
Ability to work independently and as part of a team.
Flexibility to work weekends if needed.
Compliance with company compliance, information security, and regulatory policies, procedures, and programs.

Responsibilities

Work within timelines and obtain necessary sign-off at each stage from stakeholders.
Maintain and update reports as required.
Meet productivity and quality targets.
Be available for meetings and calls as required.
Liaise with the program or project manager as required.
Conduct all job functions and responsibilities in accordance with company policies, procedures, and programs.

Desired Qualifications

A B.Sc. in Nursing is an added advantage but is not mandatory.

Skills and abilities:

Must be CPC/CRC/CCS certified with a minimum of 2-3 years’ experience in HCC Risk Adjustment coding.
Must have thorough knowledge in ICD 9 & ICD 10 Coding
Should have sound experience in Risk adjustment coding (Prospective/Concurrent/Retrospective)
Must be good with MS Office, especially Excel and PPT.
Must be flexible with shift timing and willing to provide additional support based on process requirement.
Must have Strong Communication Skills.
Active CPC/CCS/CRC Coding license without apprentice.

Qualifications:

B.Sc. Nursing Graduate(Added advantage not mandatory)
Active CPC/CCS/CRC Coding license without apprentice

Experience:

HCC Coding experience (Mandatory)
Active CPC/CCS/CRC Coding license without apprentice

Communication:

Strong written (documentation) and oral communication skills

Working Hours:

40 hours per week as Full-time employee
Shift time: 9 am to 6 pm IST
Flexible to work on weekends if needed

Thorough clinical knowledge on Chronic conditions, comprehending the medical record, signs/symptoms, and strong understanding of the MEAT/TAMPER concept.
Should have experience in Risk adjustment coding (Prospective/Concurrent/Retrospective)
Strong personal and professional ethics
Strong written (documentation) and oral communication skills
Must have a strong analytical, problem-identification and process analysis skills with the ability to envision a solution from requirements
Working within the timelines and getting necessary sign-off on each stages of work from stakeholders
Maintenance and updating reports as required
Must ensure meeting productivity and quality targets
Must ensure availability for meeting/calls as required
Work independently and as a team
Liaison with the program/project manager as required
Good team player & collaborative in approach
Conduct all job functions and responsibilities in accordance with all company
Compliance, Information Security and Regulatory policies, procedures and programs

About the Company

EXL

Analyzes business data and runs outsourced operations

EXL analyzes business data and runs outsourced operations for insurers, healthcare payers, banks, retailers, and other large organizations. Its teams combine industry expertise with data engineering and AI to handle tasks such as claims processing, payment reviews, customer service, and finance within existing technology environments. The company also builds software, including LifePRO, which manages insurance policies, and EXLdata.ai, which connects fragmented data for use in AI systems. Clients pay for consulting projects, ongoing managed services, and software delivered through the cloud. EXL was founded in 1999 and is headquartered in New York City.

Company size: 10,001+
Company stage: IPO
Headquarters: New York City, New York
Founded: 1999

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