EXL
EXL
EXL — ұйымдарға операцияларын жетілдіруге және тиімдірек шешімдер қабылдауға көмектесу үшін деректерді, талдауды және технологияларды пайдаланатын бизнес-консалтинг және қызмет көрсету компаниясы. Оның жұмысы операцияларды басқаруды, шешімдер аналитикасын және цифрлық трансформацияны қамтиды. Компания денсаулық сақтау, сақтандыру, қаржы және логистика салаларындағы клиенттерге қолдау көрсету тәжірибесіне ие. EXL деректер ғылымын практикалық бизнес сараптамасымен ұштастырып, әр ұйымның мақсаттарына, операциялық моделіне және салалық ерекшеліктеріне бейімделген шешімдер әзірлейді.

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.

Сипаттама

  • 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

Талаптар

  • 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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