EXL
EXL
EXL is a business consulting and services company that helps organizations use data, analytics, and technology to improve operations and make better decisions. Its work includes operations management, decision analytics, and digital transformation, with experience supporting clients in healthcare, insurance, finance, and logistics. EXL combines data science with practical business expertise to develop solutions tailored to each organization’s goals, operating model, and industry context.

Senior Coding Auditor, Outpatient Surgery

EXL is seeking a senior surgery coding auditor to review outpatient coding and support quality, compliance, and production goals. The role covers multiple specialties, including IVR and general surgery, and uses APC facility coding.

Description

  • Adhere to all standard operating procedures.
  • Complete assigned audits to quality standards.
  • Meet quality and production targets.
  • Follow project protocols and instructions.
  • Escalate issues and identify trends.
  • Update productivity, clarification, and other relevant logs each day.
  • Consult the Manager or Team Lead when clarification is needed.
  • Respond promptly to all emails from the Manager.
  • Use problem-solving skills to address work issues.
  • Ensure the full team complies with HIPAA and OIG requirements.
  • Attend required in-office training.
  • Code outpatient surgery across multiple specialties, including IVR and general surgery.
  • Apply knowledge of injections and infusions.
  • Work with APC facility coding.

Requirements

  • Bachelor's degree in life sciences or a paramedical field.
  • CPC certification; CPC/CPMA.
  • At least three years of coding experience overall.
  • At least three years of multispecialty surgery coding experience, including IVR and general surgery.
  • Experience in outpatient surgery specialties.
  • APC facility coding experience is an advantage.
  • Computer proficiency.
  • Strong written documentation and verbal communication skills.
  • Good communication, flexibility, and reliability.
  • Understand and follow the telecommuter policy.
  • Auditing and denial management experience is optional.
  • Work 40 hours per week, Monday through Friday, from 8:00 a.m. to 5:00 p.m. IST.

Benefits

  • Full-time schedule of 40 hours per week.
  • Weekends off.
  • A broadband, high-speed home internet connection is required.
  • Required in-office training.

Related Jobs