Assistant Manager - Coding Auditor
About the Role
Assistant Manager – Surgery Coding is responsible for APC & Professional Surgery Audit review. This includes leveraging advanced medical coding analysis, enforcing policy adherence, and driving overpayment recovery programs. Creating presentations, develop process manuals, handbook and other training materials. 3+ Years After Certification is MUST
Full Job Posting
Qualifications
- Requirements:(AM-B1)
- 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
- 3+ Years After Certification is must
- (AM-B1)
- 7+ years relevant coding
Responsibilities
- Lead training sessions on current coding-Audit for Multiple specialties.
- Develop curriculum and training handbook.
- Create presentations.
- Perform quality assurance reviews to assess comprehension of training efforts.
- Organize and participate in Coding-Audit meetings.
- Review and respond to coding questions.
- Research updated coding information.
- Conduct coding reviews and training programs to assure coding quality.
- Ensure billed service is being accurately coded.
- Perform random chart audits.
- Hold regular meetings to communicate new findings.
- Perform analysis of benchmarking profiles.
- Provide continual coding and payer updates.
- Research coding issues that arise.
Preferred Qualifications
- Auditing experience – desired
- Radiation Oncology coding/auditing experience – desired
About EXL
EXL is a global data and AI company that provides analytics, digital operations, and industry-specific services to enterprises in insurance, healthcare, banking, retail, media, and energy.
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