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Assistant Manager – SME, Coding Auditor
EXLAssistant Manager overseeing medical coding auditing at EXL, managing daily operations and ensuring compliance. Collaborating with teams for quality assurance and process improvements in healthcare auditing.
About the role
Key responsibilities & impact- Supervise and manage the daily activities of the surgery coding and audit teams, including in-house and contract auditors.
- Allocate workload, monitor performance, and ensure timely completion of assigned tasks in alignment with project timelines.
- Conduct regular team meetings to communicate updates, review performance, and address challenges or process changes.
- Foster a positive and productive work environment that encourages collaboration and accountability.
- Ensure that coding audits meet defined accuracy, quality, and productivity benchmarks.
- Review audit results, identify trends or recurring issues, and implement corrective actions to maintain quality standards.
- Collaborate with Quality Assurance and Training teams to address performance gaps through targeted coaching and retraining.
- Monitor operational workflows to identify bottlenecks and recommend process enhancements for greater efficiency.
- Support the development and implementation of best practices in surgical coding operations.
- Ensure seamless coordination between coding, auditing, and training functions to maintain alignment with business objectives.
- Ensure strict adherence to HIPAA, OIG, and other compliance and confidentiality regulations.
- Maintain and track key performance metrics, preparing regular reports for senior management.
- Address audit discrepancies, process deviations, and non-compliance issues promptly and effectively.
- Act as a point of contact between the audit team, management, and clients to ensure smooth communication and issue resolution.
- Participate in client calls and internal reviews to discuss project status, performance, and quality outcomes.
- Support audit planning and resource allocation based on client requirements and project priorities.
Requirements
What you’ll need- Medical Coding or Auditing experience in Surgery Coding (outpatient, Prof, APC, ASC etc.)
- CPC, COC or other AAPC/AHIMA coding certification
- Auditing experience – desired
- Radiation Oncology coding/auditing experience – desired
- 7+ years relevant coding experience
- Open for an IC role (Independent Contributor)
Benefits
Comp & perks- EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
surgery codingauditingcoding auditsperformance metricsprocess enhancementsquality assurancecorrective actionsmedical codingradiation oncology codingindependent contributor
Soft Skills
team managementcommunicationcollaborationaccountabilityproblem-solvingcoachingleadershipperformance monitoringworkload allocationprocess improvement
Certifications
CPCCOCAAPC certificationAHIMA certification