• 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:
• Lead and manage QC check
• Follow every aspect of SOP without fail
• Complete received Audits with Quality
• To achieve Quality target
• Follow project related protocols and instructions
• Escalate issues, identify trends...
• Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
• Check with Manager /TL in case of clarifications
• All emails from Manager should be answered promptly without fail
• Problem solving skill sets
• Ensure compliance of entire team for HIPAA,OIG
Qualifications
Qualifications:
• Life science/Paramedical Degree
• CPC/CPMA; Min. 3+ Years experience After Certification
• Computer skill sets
Experience:
• 6 years to 9 years’ experience in Medical coding IVR and General surgery
• Working in Quality team is an added advantage.
Communication: Robust written (documentation) and oral communication skills
Working Hours:
• 40 hours per week as Full time employee
• Shift time: 08:00AM TO 05:00PM IST
• Weekends Off
Telecommuter/Internet requirements, if applicable:
• High Speed internet connection at home, must be broadband
• Must understand and adhere with telecommuter policy
EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with client
📌 Lead Assistant Manager-Auditors-Surgery (Chennai)
🏢 EXL
📍 Chennai
Reply to this offer
Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.