EXL

Manager

EXL  •  Chennai, IN (Onsite)  •  3 months ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

Job Description & Skills Requirements Job Name: Manager Position Title:  Manager Coding Audit Automation Band: C1 ERP Full Position ID: Reporting to: Sr Manager Location/Site: EXL India Overview:  Manager is responsible for identifying automation and digitalization opportunities in in-patient coding streamline processes, enhance efficiency, and reduce manual efforts through innovative technology and AI solutions aligned with organizational goals. Qualifications:  Bachelor’s Degree B.sc/M.Sc./Nursing/Pharmacy/Biotech Certifications:  CPC -  Certified Professional CCS -  Certified Coding Specialist CIC -  Certified Inpatient Coder Experience: Manager:  10 to 15 years’ experience in medical coding, auditing and automation. Skills and Abilities: Advanced knowledge of medical coding software platforms (e.g., 3M Code Finder, Optum360, True Code, Epic, Cerner, etc.). Minimum 5 years of experience in Inpatient DRG coding. Outpatient medical coding experience is added advantage. Mandatory working experience on US healthcare automation projects. Knowledge on automation tools Knowledge of programming language would be added advantage alike. Python SQL R, etc. Payer experience is added advantage. Expertise in Microsoft outlook/excel/word/Power BI. Primary Roles and Responsibilities: Automation of DRG Coding to streamline repetitive coding tasks. Bringing AI based solutions for DRG claims validations. Improve compliance through predictive analytics. AI-Assisted decision-making automations for diagnosis and procedure codes. Ability to work with physicians, IT professionals, SMEs, and medical coders. Solutions to automatically recognize and extract data from medical records to facilitate auditing. Workflows Optimization. Conducting UAT and providing feedback to the respective teams. Retraining and evaluating the performance of the automated model. Estimating or projecting the return on investment (ROI). Perform analysis of benchmarking. Additional Roles and Responsibilities: Oversee operations of healthcare facilities. Manage staffing, scheduling, and resource allocation Stay updated on changes in healthcare. Develop and implement quality improvement initiatives. Strategic planning process to align organizational goals. Engage in market analysis to understand the competitive landscape. Maintaining SOP and Audit manual. Track key performance indicators (KPIs).
EXL

About EXL

Choosing a digital partner is about more than capabilities — it’s about collaboration and character.

Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments.

At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations.

Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale.

Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact.

We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition.

At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward.

For more information, visit www.exlservice.com.

Industry
Consulting & Advisory
Company Size
10,000+ employees
Headquarters
New York, NY
Year Founded
Unknown
Social Media