Job details
Job type full-time
Full job description
Overview
Exl (nasdaq: exls) is a leading operations management and analytics company that designs and enables agile, customer-centric operating models to help clients improve their revenue growth and profitabilityOur delivery model provides market-leading business outcomes using exl’s proprietary business exlerator framework™, cutting-edge analytics, digital transformation and domain expertiseAt exl, we look deeper to help companies improve global operations, enhance data-driven insights, increase customer satisfaction, and manage risk and complianceExl serves the insurance, healthcare, banking and financial services, utilities, travel, transportation and logistics industriesHeadquartered in new york, new york, exl has more than 32,000 professionals in locations throughout the united states, europe, asia (primarily india and philippines), south america, australia and south africaFor more information, visit www.exlservice.com.
Exl health is seeking an experienced drg quality analyst.
This is a remote office opportunityThe quality analyst iv oversees work performed by the drg audit program to ensure that exl’s standard of accuracy is metThe analyst undertakes a quality review of random and targeted drg auditsThe analyst trains drg coders, creates and revises training material and provides feedback sessions to all staff.
Responsibilities
Responsible for reviewing the accuracy and consistency of drg coding auditors to ensure audits are appropriately marked for findings and no findings.
Mentor and train drg coders
Create and provide updates to training and user manuals
Recommend process changes to improve quality and performance
Communicate with peers and management
Provide root cause analysis on errors
Perform other duties as assigned
Conduct all job functions and responsibilities in accordance with all company compliance, information security and regulatory policies, procedures and programs
Qualifications
Minimum 5 years relevant drg and apr drg coding/auditing experience
Rhit or rhia certification
Ccs certification, cpc certification
Knowledge and skills:
Superior auditing and monitoring skills
Excellent decision making skills and sound judgment
Thorough understanding of medical terminology and human physiology
Strong technical knowledge and ability to learn new systems quickly
Excellent oral/presentation and written communication skills
Ability to complete tasks efficiently and resolve problems within set timelines
Excellent client and customer service skills
Ability to mentor and instruct
Strong organizational skills and attention to detail
Ability to work in a team environment and independently as needed
Demonstrated flexibility and adaptability
Must be able to work under deadlinesMust be able to utilize independent decision-making skills in a wide variety of situations
Requires a high degree of accuracy in the performance of varied responsibilities.
Personal computer skills requiredMust be self-motivated to complete work in a timely manner to meet deadlines
Strong interpersonal skills required
What we offer:
Exl health offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisionsFrom your very first day, you get an opportunity to work closely with highly experienced, world class healthcare consultants.
You can expect to learn many aspects of businesses that our clients engage inYou will also learn effective teamwork and time-management skills - key aspects for personal and professional growth
We provide guidance/ coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors.
The sky is the limit for our team membersThe unique experiences gathered at exl health sets the stage for further growth and development in our company and beyond.
Eeo/minorities/females/vets/disabilities
Please be aware that exl requires all employees to be vaccinated for covid-19This position will require the successful candidate to obtain and show proof of a vaccinationExl is an equal opportunity employer, and will provide reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.
