Manager (Tamil Nadu)

Manager (Tamil Nadu)

08 Aug
|
EXL Service
|
Tamil Nadu

08 Aug

EXL Service

Tamil Nadu

Manager- Surgery Coding Responsibilities Lead and manage a team of medical coding specialist ensuring accurate and timely auditing of surgical procedures across various specialties in accordance with industry standards guidelines and regulatory requirements Provide guidance training and mentorship to the coding team fostering a team-oriented and high-performing work environment Oversee the coding workflow prioritize work assignments and ensure productivity and quality targets are met or exceeded Stay updated with changes in coding guidelines payer policies and industry trends related to surgery coding and payment integrity process and effectively communicate these changes to the team Conduct regular audits and quality checks to ensure compliance with coding guidelines accuracy of coded data and adherence to documentation requirements Collaborate with other departments such as analytics repricing quality compliance to optimize coding processes and resolve coding-related issues Monitor key performance indicators KPIs and develop performance improvement initiatives to enhance auditing efficiency accuracy and productivity Apply payment integrity processes and knowledge to ensure proper coding and billing practices identify claim and documentation errors and deficiencies and maximize revenue capture Serve as a subject matter expert on multi-specialty surgery coding and payment integrity providing guidance and support to physicians clinical staff and other stakeholders to ensure appropriate documentation coding and auditing practices Bachelor s degree in Clinical or Healthcare Information Management or a related field Relevant certifications e g CCS CPC CPMA are mandatory Extensive experience in medical coding with a focus on surgery coding and strong knowledge of CPT ICD-10-CM HCPCS coding systems Proficient in using coding software and electronic health record EHR systems Strong analytical and problem-solving skills with the ability to identify coding-related issues propose solutions and implement process improvements Excellent interpersonal and communication skills with the ability to collaborate effectively with diverse stakeholders and build positive relationships Detail-oriented with a commitment to accuracy and compliance with coding guidelines and regulations Ability to work independently prioritize tasks and meet deadlines in a fast-paced environment Demonstrated knowledge of healthcare industry regulations such as HIPAA and HITECH and specific knowledge of CMS Medicare LCDs NCDs Medical Policies Commercial payer processes and requirements

📌 Manager (Tamil Nadu)
🏢 EXL Service
📍 Tamil Nadu

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