Description
- Strong expertise in multi-specialty surgical coding, auditing, and payment integrity processes.
- In-depth knowledge of ICD-10-CM, CPT, HCPCS, modifier usage, and payer-specific coding guidelines.
- Comprehensive understanding of CMS, Medicare, Medicaid, LCDs, NCDs, commercial payer policies, and reimbursement methodologies.
- Proficiency in coding software, auditing tools, and Electronic Health Record (EHR) systems.
- Strong analytical and problem-solving abilities with a focus on identifying coding discrepancies and implementing process improvements.
- Excellent leadership, coaching, and team management skills.
- Effective communication and stakeholder management skills with the ability to collaborate across departments.
- High attention to detail and commitment to coding accuracy, compliance, and quality standards.
- Ability to manage multiple priorities, work independently, and meet deadlines in a fast-paced environment.
- Sound knowledge of healthcare regulations, including HIPAA, HITECH, and industry compliance requirements.
Responsibilities
- Lead and manage a team of medical coding specialists, ensuring accurate and timely auditing of multi-specialty surgical claims.
- Provide coaching, training, and mentorship to enhance team performance and foster a collaborative work workplace.
- Oversee coding workflows, assign priorities, and ensure productivity, quality, and turnaround time targets are consistently achieved.
- Stay current with coding guideline updates, payer policies, regulatory changes, and industry best practices, and communicate relevant updates to the team.
- Conduct regular coding audits and quality reviews to ensure compliance with coding standards, documentation requirements, and organizational policies.
- Collaborate with cross-functional teams, including Analytics, Repricing, Quality, and Compliance, to optimize coding operations and resolve coding-related issues.
- Monitor and analyze key performance indicators (KPIs), ident
📌 Manager - Operation (Chennai)
🏢 EXL
📍 Chennai