Senior Executive - Coding Auditor

ExlService Holdings, Inc.; Chennai; On-site; INR 300,000 - 600,000; Full time

Job summary

EXL Service Holdings, Inc. in Chennai seeks a CPC-certified healthcare coder with 3+ years post-certification and a strong background in multi-specialty surgery coding.

The role requires strict adherence to SOPs, completion of audits with quality, and daily logging of productivity, clarifications, and logs. Excellent written and spoken communication, reliability, and flexibility are essential for a 40-hour-per-week, full-time position.

Qualifications

• Life science/Paramedical degree required.
• CPC/CPMA certification; mandatory 3+ years of experience after certification.
• Experience in multi-specialty surgery coding including IVR and general surgery.

Responsibilities

• Follow every aspect of SOP without fail.
• Complete received audits with quality.
• Achieve quality and production targets.
• Follow project related protocols and instructions.
• Escalate issues and identify trends.
• Update productivity logs and clarification logs daily.
• Check with Manager/TL for clarifications.
• Respond promptly to all manager emails.
• Demonstrate problem solving skills.
• Ensure HIPAA and OIG compliance across the team.

Skills

Analytical Skills

Medical Coding

Team Collaboration Communication

Education

Life science/Paramedical Degree

CPC/CPMA Certification

Job description

• CPC certification. Manadtory 3+ Years of experience After Certification
• Overall 3+ years of coding experience
• Specialty worked: Outpatient surgery
• APC Facility coding is an added advantage
• Good communication, flexibility reliability

Responsibilities

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

Qualifications:

• Life science/Paramedical Degree
• CPC/CPMA ; Mandatory 3+ Years of experience After Certification

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

Telecommuter/Internet requirements, if applicable:

High Speed internet connection at home, must be broadband

Must understand and adhere with telecommuter policy

Required Skills

• Analytical Skills
• Medical Coding
• TEAM COLLABORATION COMMUNICATION

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 never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.