Executive Coding Auditor

EXL

DRG Coding Auditor reviewing inpatient records for coding and reimbursement accuracy at EXL, a healthcare data and analytics company. Mentoring coders and improving documentation compliance.

Posted 9/7/2026full-timeChennai • 🇮🇳 IndiaJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in ICD-10-CM/PCS coding, DRG classification, and compliance with CMS guidelines and IPPS methodology. Proven ability to mentor coding staff, conduct audits, and analyze findings while ensuring adherence to HIPAA and OIG requirements.

Highest-signal resume keywords

ICD-10-CM/PCS CodingDRG ClassificationCertified Coding Specialist (CCS)IPPS MethodologyAuditing Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10-CM/PCS CodingDRG ClassificationAuditingCoding Quality AuditsDocumentation Gap AnalysisRegulatory ComplianceData AnalysisQuality AssuranceCoding EducationProduction Targets

Soft Skills

Good CommunicationMentoringCollaborationFlexibility

Tools & Technologies

Microsoft OutlookMicrosoft ExcelMicrosoft Word3M SoftwareNLP Tool

Certifications & Qualifications

Certified Coding Specialist (CCS)Certified Inpatient Coder (CIC)

Industry Keywords

CMS GuidelinesHIPAA ComplianceOIG ComplianceIP DRG CodingSOPs

About the role

Key responsibilities & impact

Conduct comprehensive reviews of inpatient medical records to validate ICD-10-CM/PCS codes and DRG classifications
Ensure compliance with IPPS methodology, CMS guidelines, and official coding rules
Verify diagnoses, procedures, POA indicators, and discharge disposition
Identify documentation gaps and collaborate with clinical teams for clarification
Mentor, coach, and support coding staff on complex DRG and inpatient coding scenarios
Deliver feedback and ongoing education to coders and CDI specialists
Perform routine coding quality audits and recommend corrective actions
Analyze audit findings and prepare detailed reports
Stay updated on regulatory changes, payer guidelines, and industry best practices
Participate in cross-functional meetings with coding, CDI, compliance, and operations teams
Follow SOPs and project protocols
Complete audits with quality and achieve quality and production targets
Escalate issues and identify trends
Update productivity and clarification logs daily
Respond promptly to manager emails and seek clarification from managers or team leads
Ensure team compliance with HIPAA and OIG requirements

Requirements

What you’ll need

Bachelor's in nursing preferable / bachelor’s in science
Mandatory CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification
Minimum 2 years’ experience in IP DRG coding or auditing
Auditing experience on IP DRG
Knowledge of Microsoft Outlook, Excel, and Word
Exposure to 3M software and NLP tool
Knowledge of IPPS methodology
Knowledge of ICD-10-CM/PCS coding and DRG classification
Knowledge of CMS guidelines and official coding rules
Knowledge of HIPAA and OIG compliance
Good Excel skills
Good communication
Flexibility

Benefits

Comp & perks

Full-time employment
Hybrid work arrangement
40 hours per week