Lead Assistant Manager-Auditors-Surgery

EXL; Chennai District; On-site; INR 700,000 - 1,100,000; Full time

Job summary

EXL in Chennai seeks a Medical Coding Team Lead – Surgery & Payment Integrity to oversee a team of coding specialists and ensure accurate auditing of surgical procedures across multiple specialties.

The role requires strong CPT, ICD-10, and HCPCS knowledge, leadership, and collaboration with analytics and compliance teams to maintain quality and maximize compliant reimbursements.

Qualifications

• Team Leadership & Management: Lead, mentor, and manage a team of medical coding specialists.
• Quality & Compliance: Ensure coding/auditing adhere to standards and regulatory requirements.
• Training & Development: Provide education and feedback to enhance skills.
• Workflow Oversight: Manage coding workflow and monitor progress toward targets.
• Regulatory Updates: Stay abreast of coding guideline changes and CMS updates.
• Cross-Functional Collaboration: Partner with analytics, repricing, compliance, and quality teams.
• Performance Monitoring: Track KPIs and improve productivity and quality.
• Payment Integrity: Identify claim errors and revenue opportunities.
• Subject Matter Expertise: Act as coding/auditing expert for surgical specialties.

Responsibilities

• Lead, mentor, and manage a team of medical coding specialists to deliver high-quality auditing outcomes.
• Ensure all coding and auditing activities adhere to the latest industry standards, payer guidelines, and regulatory requirements.
• Provide continuous education, coaching, and feedback to the coding team to enhance their technical skills and domain expertise.
• Manage coding workflow, prioritize daily assignments, and monitor progress to ensure timely completion of audit deliverables and achievement of productivity and accuracy targets.
• Stay abreast of changes in coding guidelines, payer policies, and CMS updates. Communicate these updates and their operational impact to the team.
• Partner with analytics, repricing, compliance, and quality departments to resolve coding discrepancies, streamline processes, and enhance overall audit efficiency.
• Track KPIs, identify performance gaps, and develop improvement strategies to boost team productivity and quality outcomes.
• Apply strong knowledge of payment integrity principles to identify claim errors, documentation deficiencies, and missed revenue opportunities.
• Act as a coding and auditing expert for surgical specialties, supporting physicians, clinical teams, and business stakeholders in achieving accurate and compliant documentation and coding practices.

Skills

Team leadership

Quality & compliance

Training & development

Workflow oversight

Regulatory updates

Cross-functional collaboration

Performance monitoring

Payment integrity

Surgical coding expertise

Job description

Medical Coding Team Lead – Surgery & Payment Integrity is responsible for overseeing a team of medical coding specialists to ensure accurate, compliant, and timely auditing of surgical procedures across multiple specialties. This role demands strong technical expertise in CPT, ICD-10, and HCPCS coding, particularly within surgery and complex procedure coding domains such as cardiovascular, IVR, and general surgery

• Team Leadership & Management: Lead, mentor, and manage a team of medical coding specialists to deliver high-quality auditing outcomes. Foster a collaborative, accountable, and performance-driven team culture.
• Quality & Compliance: Ensure all coding and auditing activities adhere to the latest industry standards, payer guidelines, and regulatory requirements. Conduct regular audits to maintain accuracy and compliance.
• Training & Development: Provide continuous education, coaching, and feedback to the coding team to enhance their technical skills and domain expertise.
• Workflow Oversight: Manage coding workflow, prioritize daily assignments, and monitor progress to ensure timely completion of audit deliverables and achievement of productivity and accuracy targets.
• Regulatory Updates: Stay abreast of changes in coding guidelines, payer policies, and CMS updates. Effectively communicate these updates and their operational impact to the team.
• Cross-Functional Collaboration: Partner with analytics, repricing, compliance, and quality departments to resolve coding discrepancies, streamline processes, and enhance overall audit efficiency.
• Performance Monitoring: Track key performance indicators (KPIs), identify performance gaps, and develop improvement strategies to boost team productivity and quality outcomes.
• Payment Integrity: Apply strong knowledge of payment integrity principles to identify claim errors, documentation deficiencies, and missed revenue opportunities, ensuring optimal claim accuracy and reimbursement.
• Subject Matter Expertise: Act as a coding and auditing expert for surgical specialties, supporting physicians, clinical teams, and business stakeholders in achieving accurate and compliant documentation and coding practices