EXL
EXL
EXL एक व्यावसायिक परामर्श और सेवाएँ प्रदान करने वाली कंपनी है, जो संगठनों को डेटा, विश्लेषण और प्रौद्योगिकी का उपयोग करके संचालन में सुधार करने और बेहतर निर्णय लेने में सहायता करती है। इसके कार्यों में संचालन प्रबंधन, निर्णय विश्लेषण और डिजिटल रूपांतरण शामिल हैं। कंपनी को स्वास्थ्य सेवा, बीमा, वित्त और लॉजिस्टिक्स के क्षेत्रों में ग्राहकों का सहयोग करने का अनुभव है। EXL डेटा विज्ञान को व्यावहारिक व्यावसायिक विशेषज्ञता के साथ जोड़कर ऐसे समाधान विकसित करती है, जो प्रत्येक संगठन के लक्ष्यों, संचालन मॉडल और उद्योग-परिस्थिति के अनुरूप होते हैं।

Lead Assistant Manager, Medical Coding Auditor – Chennai Hybrid

Lead surgical coding audits at EXL in Chennai, supporting DRG accuracy, compliance, and payment integrity. Guide a medical coding team while improving audit quality, productivity, and performance.

विवरण

  • Manage medical coding specialists who perform accurate, timely audits across multiple specialties
  • Coach, train, and mentor coding team members
  • Coordinate coding workflows, assign priorities, and maintain productivity and quality standards
  • Share updates on coding guidelines, payer policies, and relevant industry developments
  • Perform recurring audits and quality reviews to verify coding accuracy, compliance, and documentation standards
  • Partner with analytics, repricing, quality, and compliance teams
  • Track key performance indicators and create initiatives to improve results
  • Use payment integrity processes to uncover claim and documentation errors and support maximum revenue capture
  • Act as the subject matter expert for multi-specialty surgery coding and payment integrity

आवश्यकताएँ

  • Bachelor’s degree in clinical, healthcare information management, or a related discipline
  • Mandatory professional certification such as CPC, CIC, or CCS for DRG coding
  • Substantial medical coding experience with a focus on DRG coding
  • Advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems
  • Experience using coding applications and electronic health record systems
  • Strong analytical judgment and problem-solving ability
  • Clear interpersonal and written and verbal communication skills
  • Careful, accuracy-focused approach with a strong commitment to regulatory compliance
  • Ability to work autonomously, organize competing priorities, and deliver under tight deadlines
  • Working knowledge of HIPAA, HITECH, CMS, Medicare, LCDs, NCDs, medical policies, and commercial payer processes and requirements

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