indeed
Assistant Manager - Coding Auditor
EXL Service
Tamil Nadu, IND
Full-time
Onsite
Discovered 3 weeks ago
Surgery codingMedical coding auditingCPC certificationCOC certificationAAPC/AHIMA coding certificationHIPAA compliance
Key Skills for This Role
Surgery codingMedical coding auditingCPC certificationCOC certificationAAPC/AHIMA coding certificationHIPAA compliance
Full Job Posting
Team and operations management
- Supervise daily surgery coding and audit team activities, including in-house and contract auditors.
- Allocate workloads, monitor performance, and ensure timely delivery against project timelines.
- Conduct team meetings to share updates, review performance, and address challenges or process changes.
- Foster collaboration and accountability.
Quality and process oversight
- Ensure coding audits meet accuracy, quality, and productivity benchmarks; review results, identify trends, and implement corrective actions.
- Partner with Quality Assurance and Training teams on coaching and retraining to address performance gaps.
- Monitor workflows, identify bottlenecks, recommend improvements, and support best practices in surgical coding operations.
- Coordinate coding, auditing, and training functions.
Compliance, reporting, and clients
- Ensure compliance with HIPAA, OIG, and other confidentiality and compliance regulations.
- Track key performance metrics and prepare regular reports for senior management.
- Resolve audit discrepancies, process deviations, and non-compliance issues.
- Coordinate between audit teams, management, and clients; participate in client calls and internal performance reviews.
- Support audit planning and resource allocation based on client requirements and project priorities.
Coding training and review
- Lead coding-audit training sessions across multiple specialties and develop curricula, training handbooks, and presentations.
- Conduct quality-assurance reviews to assess training comprehension and organize coding-audit meetings.
- Review and respond to coding questions; research updated coding information and coding issues.
- Conduct coding reviews and training programs to assure coding quality and verify billed services are accurately coded.
- Perform random chart audits, analyze benchmarking profiles, communicate new findings, and provide coding and payer updates.
Qualifications
- Medical coding or auditing experience in surgery coding, including outpatient, professional, APC, or ASC contexts.
- CPC, COC, or another AAPC/AHIMA coding certification.
- At least seven years of relevant coding experience, including at least three years after certification.
- Auditing experience is desired; Radiation Oncology coding or auditing experience is also desired.
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