Senior Executive - Coding Auditor

EXL

24d • Remote

About The Position

The Senior Executive - Coding Auditor performs coding audits for multi-specialty surgery coding, including IVR, general surgery, infusion and injection, and radiation oncology. The role requires following standard operating procedures and project protocols, completing audits to quality and production targets, maintaining daily logs, addressing clarifications, and supporting HIPAA and OIG compliance across the team. Denial management and auditing experience are optional.

Requirements

• CPC certification is mandatory.
• Bachelor’s degree in Science.
• Three years of experience in multi-specialty surgery coding, including IVR, general surgery, infusion and injection, and radiation oncology.
• Strong written communication skills, including documentation, and strong oral communication skills.
• High-speed broadband internet connection at home.
• Understand and adhere to the telecommuter policy.

Nice To Haves

• Auditing and denial management experience.

Responsibilities

• Follow every aspect of the SOP without fail.
• Complete received audits with quality and achieve quality and production targets.
• Follow project-related protocols and instructions.
• Escalate issues and identify trends.
• Update productivity, clarification, and other applicable logs daily.
• Check with the Manager or Team Lead when clarification is needed.
• Respond promptly to all emails from the Manager.
• Apply problem-solving skills.
• Ensure the entire team complies with HIPAA and OIG requirements.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior