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EXL

Senior Coding Auditor

EXL

Senior coding auditor validating inpatient DRG records for EXL, a data analytics and digital operations company. Mentoring coders and improving healthcare documentation and coding accuracy.

Posted 9/7/2026full-timeChennai • 🇮🇳 IndiaSeniorWebsite

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 and DRG classifications, ensuring compliance with CMS guidelines and conducting thorough audits. Capable of mentoring coding staff and collaborating with clinical teams to enhance documentation and coding accuracy.

Highest-signal resume keywords
ICD-10-CM/PCS CodingCertified Coding Specialist (CCS)Inpatient DRG CodingAuditing Experience3M Software Exposure

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
ICD-10-CM CodingICD-10-PCS CodingDRG ClassificationCoding AuditsDocumentation ReviewQuality AuditsRegulatory ComplianceData AnalysisCoding GuidelinesSOP Adherence
Soft Skills
Good CommunicationMentoringCollaborationFlexibility
Tools & Technologies
Microsoft OutlookMicrosoft ExcelMicrosoft Word3M SoftwareNLP Tools
Certifications & Qualifications
Certified Coding Specialist (CCS)Certified Inpatient Coder (CIC)
Industry Keywords
IPPS MethodologyCMS GuidelinesHIPAA ComplianceOIG RequirementsClinical Documentation Improvement (CDI)

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 clarifications
  • Mentor, coach, and support coding staff on complex DRG and inpatient coding scenarios
  • Provide 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, clarification, and other applicable logs daily
  • Check with the Manager/Team Lead for clarifications
  • Respond promptly to manager emails
  • 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 tools
  • Good Excel skills
  • Flexibility
  • Good communication
  • 40 hours per week

Benefits

Comp & perks
  • Full-time employment
  • Hybrid work arrangement