Description
Perform detailed quality audits of coded medical records to ensure accuracy, compliance, and adherence to official coding guidelines and payer-specific requirements.
Review and analyze clinical documentation for completeness and accuracy in assigning CPT, ICD-10-CM, and HCPCS codes.
Identify coding errors, trends, and areas for improvement; provide actionable feedback and recommendations to the coding team.
Collaborate with coding managers and training teams to support process improvement and coding education initiatives.
Stay current with updates to coding standards, payer regulations, and compliance requirements.
Responsibilities
Responsibilities and Essential Functions:
Must be a subject matter expert
Team handling skill set
Working in Quality team is an added advantage.
Inventory management and planning
Motivate and guide team to achieve production and quality goal set
Follow project related protocols and instructions
Handling team clarification
To be proactive in handling team issues
Problem solving skill sets
Research on grey areas with solution
Capable of conducting team education and training
Skill sets to address client email and queries
Should have more analytical skill sets
Should be more cutting-edge, energetic and positive thoughts
Having skill sets to motivate teams
Escalate issues, identify trends
All emails from Manager should be answered promptly without fail
Ensure compliance of entire team for HIPAA,OIG
Qualifications
Requirements :(AM-B1)
Life science/Paramedical Degree
CPC
7 - 12 year of Coding with quality experience
Specialty worked: IVR – Mandatory (Must be dealt with complex level IVR coding, cardiovascular surgery and General surgery
5+ years of coding experience
2+Years of Team lead role
CPMA certification is added advantage.
Location –Chennai
QC experience
📌 Assistant Manager Auditors Surgery Chennai
🏢 EXL
📍 Chennai
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