* Solid 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 environment.
* 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), identify perform
📌 Manager - Operation (Chennai)
🏢 EXL
📍 Chennai