Lead Assistant Manager
EXL
ETLJavaJMeterSDLCSeleniumSQLSSIS
Manager
EXL
full-time
Posted on:
Location Type: Hybrid
Location: Chennai • 🇮🇳 India
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Lead and manage a team of medical coding specialists ensuring accurate and timely auditing of surgical procedures across various specialties
- Provide guidance, training, and mentorship to the coding team, fostering a collaborative and high-performing work environment
- Oversee the coding workflow, prioritize work assignments, and ensure productivity and quality targets are met or exceeded
- Stay updated with changes in coding guidelines, payer policies, and industry trends related to surgery coding and payment integrity and effectively communicate these changes to the team
- Conduct regular audits and quality checks to ensure compliance with coding guidelines, accuracy of coded data, and adherence to documentation requirements
- Collaborate with analytics, repricing, quality, and compliance teams to optimize coding processes and resolve coding-related issues
- Monitor key performance indicators (KPIs) and develop performance improvement initiatives to enhance auditing efficiency, accuracy, and productivity
- Apply payment integrity processes to ensure proper coding and billing practices, identify claim and documentation errors and deficiencies, and maximize revenue capture
- Serve as a subject matter expert on multi-specialty surgery coding and payment integrity, providing guidance and support to physicians, clinical staff, and other stakeholders
Requirements
- Bachelor’s degree in Clinical or Healthcare Information Management or a related field
- Relevant certifications mandatory (e.g. CCS, CPC, CPMA)
- Extensive experience in medical coding, with a focus on surgery coding
- 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
- Excellent interpersonal and communication skills
- 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 (HIPAA, HITECH) and payer policies (CMS, Medicare, LCDs, NCDs, Medical Policies, Commercial payer processes and requirements)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical codingsurgery codingCPT codingICD-10-CM codingHCPCS codingauditingpayment integritycoding guidelinescoding softwareelectronic health record (EHR) systems
Soft skills
leadershipmentorshipcollaborationanalytical skillsproblem-solving skillsinterpersonal skillscommunication skillsdetail-orientedtime managementindependence
Certifications
CCSCPCCPMA