Job Description

Team & Operations Management:

Supervise and manage the daily activities of the surgery coding and audit teams, including in-house and contract auditors.

Allocate workload, monitor performance, and ensure timely completion of assigned tasks in alignment with project timelines.

Conduct regular team meetings to communicate updates, review performance, and address challenges or process changes.

Foster a positive and productive work environment that encourages collaboration and accountability.

Quality & Productivity Oversight:

Ensure that coding audits meet defined accuracy, quality, and productivity benchmarks.

Review audit results, identify trends or recurring issues, and implement corrective actions to maintain quality standards.

Collaborate with Quality Assurance and Training teams to address performance gaps through targeted coaching and retraining.

Process Management & Improvement:

Monitor operational workflows to identify bottlenecks and recommend process enhancements for greater efficiency.

Support the development and implementation of best practices in surgical coding operations.

Ensure seamless coordination between coding, auditing, and training functions to maintain alignment with business objectives.

Compliance & Reporting:

Ensure strict adherence to HIPAA, OIG, and other compliance and confidentiality regulations.

Maintain and track key performance metrics, preparing regular reports for senior management.

Address audit discrepancies, process deviations, and non-compliance issues promptly and effectively.

Stakeholder & Client Coordination:

Act as a point of contact between the audit team, management, and clients to ensure smooth communication and issue resolution.

Participate in client calls and internal reviews to discuss project status, performance, and quality outcomes.

Support audit planning and resource allocation based on client requirements and project priorities.

• 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.

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

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.