Manager - Operation

ExlService Holdings, Inc.; Chennai District; On-site; INR 800,000 - 1,500,000; Full time

Job summary

ExlService Holdings, Inc. India is seeking an experienced Healthcare Coder specializing in multi-specialty surgical coding, auditing, and payment integrity.

You will lead a team of coders, ensure accuracy and compliance, and drive process improvements across departments. The role requires in-depth knowledge of ICD-10-CM, CPT, HCPCS, modifier usage and payer guidelines, along with proficiency in coding software and EHR systems.

Qualifications

• Strong expertise in multi-specialty surgical coding, auditing, and payment integrity processes.
• In-depth knowledge of ICD-10-CM, CPT, HCPCS, modifier usage, and payer-specific coding guidelines.
• Comprehensive understanding of CMS, Medicare, Medicaid, LCDs, NCDs, commercial payer policies, and reimbursement methodologies.
• Proficiency in coding software, auditing tools, and Electronic Health Record (EHR) systems.
• Strong analytical and problem-solving abilities with a focus on identifying coding discrepancies and implementing process improvements.
• Excellent leadership, coaching, and team management skills.
• Effective communication and stakeholder management skills with the ability to collaborate across departments.
• High attention to detail and commitment to coding accuracy, compliance, and quality standards.
• Ability to manage multiple priorities, work independently, and meet deadlines in a fast-paced environment.
• Sound knowledge of healthcare regulations, including HIPAA, HITECH, and industry compliance requirements.

Responsibilities

• Lead and coach a multi-disciplinary coding team to ensure accurate surgical coding and auditing outcomes.
• Collaborate with clinical, billing, and compliance teams to resolve coding discrepancies and implement improvements.
• Oversee adherence to HIPAA, regulatory standards, and payer policies across departments.
• Manage multiple priorities, deliver timely results, and guide process optimization initiatives.

Skills

Surgical coding

Auditing

Payment integrity

ICD-10-CM CPT HCPCS

Payer policy knowledge

Team leadership

Stakeholder management

HIPAA compliance

Process improvement

Tools

Coding software

Auditing tools

EHR systems

Job description

• Strong expertise in multi-specialty surgical coding, auditing, and payment integrity processes.
• In-depth knowledge of ICD-10-CM, CPT, HCPCS, modifier usage, and payer-specific coding guidelines.
• Comprehensive understanding of CMS, Medicare, Medicaid, LCDs, NCDs, commercial payer policies, and reimbursement methodologies.
• Proficiency in coding software, auditing tools, and Electronic Health Record (EHR) systems.
• Strong analytical and problem-solving abilities with a focus on identifying coding discrepancies and implementing process improvements.
• Excellent leadership, coaching, and team management skills.
• Effective communication and stakeholder management skills with the ability to collaborate across departments.
• High attention to detail and commitment to coding accuracy, compliance, and quality standards.
• Ability to manage multiple priorities, work independently, and meet deadlines in a fast-paced environment.
• Sound knowledge of healthcare regulations, including HIPAA, HITECH, and industry compliance requirements.