Assistant Manager - SME - Coding auditor

Chennai, Tamil Nadu
Permanent
Full-time

16 days ago

Job Category: Healthcare AuditingJob Description:Team & Operations Management:Supervise and manage the daily activities of the surgery coding and audit teams, including in-house and contract auditors.Allocate workload, monitor performance, and ensure timely completion of assigned tasks in alignment with project timelines.Conduct regular team meetings to communicate updates, review performance, and address challenges or process changes.Foster a positive and productive work environment that encourages collaboration and accountability.Quality & Productivity Oversight:Ensure that coding audits meet defined accuracy, quality, and productivity benchmarks.Review audit results, identify trends or recurring issues, and implement corrective actions to maintain quality standards.Collaborate with Quality Assurance and Training teams to address performance gaps through targeted coaching and retraining.Process Management & Improvement:Monitor operational workflows to identify bottlenecks and recommend process enhancements for greater efficiency.Support the development and implementation of best practices in surgical coding operations.Ensure seamless coordination between coding, auditing, and training functions to maintain alignment with business objectives.Compliance & Reporting:Ensure strict adherence to HIPAA, OIG, and other compliance and confidentiality regulations.Maintain and track key performance metrics, preparing regular reports for senior management.Address audit discrepancies, process deviations, and non-compliance issues promptly and effectively.Stakeholder & Client Coordination:Act as a point of contact between the audit team, management, and clients to ensure smooth communication and issue resolution.Participate in client calls and internal reviews to discuss project status, performance, and quality outcomes.Support audit planning and resource allocation based on client requirements and project priorities.Responsibilities:

Understand the payer process of Surgery, APC, Outpatient.
Application of coding and clinical information.
Provide inputs and solutions to automatically recognize and extract data from medical documents for proper coding and to facilitate auditing.
Prompt response to all the emails and requirements.
Reporting to the manager as appropriate.
Excellent project management skills, multi-tasking, training skills.
Strong PC skills; Excel, Word, PowerPoint and internet-based programs
Excellent verbal and written communication
Experience in Strategic management
Perform analysis of benchmarking.
Research updated coding information
Research coding issues that arise
Maintain knowledge of Surgery coding and clinical concepts.
Flexibility

Qualifications:Requirements :(AM-B1)

Medical Coding or Auditing experience in Surgery Coding (outpatient, Prof, APC, ASC etc.)
CPC, COC or other AAPC/AHIMA coding certification
Auditing experience - desired
Radiation Oncology coding/auditing experience - desired
7+ years relevant coding experience
Open for an IC role (Independent Contributor)

About Us:EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit .EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL's Human Resources team, as well as our hiring managers.About the Team: EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration - and we've been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that's unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It's our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we're some of the best in the business. Contact us to see how we can help you achieve your goals.

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