Audits outpatient and multispecialty surgery coding for quality, productivity, compliance, and adherence to SOPs and project protocols. Identifies trends, escalates issues, maintains productivity and clarification logs, responds to management communications, and supports team compliance with HIPAA and OIG requirements. The role requires CPC certification, healthcare coding experience, strong communication, problem-solving skills, and reliable broadband for telecommuting.
Overview
- CPC certification.
- Overall 3+ years of coding experience
- Specialty worked: Outpatient surgery
- APC Facility coding is an added advantage
- Good communication, flexibility reliability
- Responsibilities and Essential Functions:
- Follow every aspect of SOP without fail
- Complete received Audits with Quality
- To achieve Quality and production target
- Follow project related protocols and instructions
- Escalate issues, identify trends...
- Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
- Check with Manager /TL in case of clarifications
- All emails from Manager should be answered promptly without fail
- Problem solving skill sets
- Ensure compliance of entire team for HIPAA,OIG
Qualifications:
- Life science/Paramedical Degree
- CPC/CPMA
- Computer skill sets
Experience:
Overall 3+ years experience in Multi-specialty surgery coding including IVR, General surgery
Auditing and denial management experience (Optional)
Communication:
Strong written (documentation) and oral communication skills
Working Hours:
40 hours per week as Full time employee
Shift time: 08:00AM TO 05:00PM IST
Weekends Off
Telecommuter/Internet requirements, if applicable:
High Speed internet connection at home, must be broadband
Must understand and adhere with telecommuter policy
About Us EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com.
EXL Chennai, Tamil Nadu, IND Office
Chennai, India
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