Lead Assistant Manager – Auditors – Surgery
EXL
full-time
Posted on:
Location Type: Hybrid
Location: Chennai • India
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Job Level
About the role
- Lead, mentor, and manage a team of medical coding specialists to deliver high-quality auditing outcomes.
- Ensure all coding and auditing activities adhere to the latest industry standards, payer guidelines, and regulatory requirements.
- Provide continuous education, coaching, and feedback to the coding team to enhance their technical skills and domain expertise.
- Manage coding workflow, prioritize daily assignments, and monitor progress to ensure timely completion of audit deliverables and achievement of productivity and accuracy targets.
- Stay abreast of changes in coding guidelines, payer policies, and CMS updates. Effectively communicate these updates and their operational impact to the team.
- Partner with analytics, repricing, compliance, and quality departments to resolve coding discrepancies, streamline processes, and enhance overall audit efficiency.
- Track key performance indicators (KPIs), identify performance gaps, and develop improvement strategies to boost team productivity and quality outcomes.
- Apply strong knowledge of payment integrity principles to identify claim errors, documentation deficiencies, and missed revenue opportunities, ensuring optimal claim accuracy and reimbursement.
- Act as a coding and auditing expert for surgical specialties, supporting physicians, clinical teams, and business stakeholders in achieving accurate and compliant documentation and coding practices.
Requirements
- 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.
Benefits
- Health insurance
- Flexible working arrangements
- Professional development opportunities
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical codingsurgery codingCPTICD-10-CMHCPCSpayment integrity principlescoding workflow managementauditingcoding discrepancies resolutionkey performance indicators (KPIs)
Soft Skills
leadershipmentoringcoachinganalytical skillsproblem-solvinginterpersonal skillscommunication skillsattention to detailindependencetime management
Certifications
Bachelor’s degree in Clinical or Healthcare Information ManagementCCSCPCCPMA