Job Description

Base Pay Range: $36.00 to $43.00 per hour

Average work hours 15 to 20 hours per week

The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.

For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits

In this role you will

• Review medical records to ensure accurate assignment of Ambulatory payment classification (APC) codes and appropriate billing practices.
• Multi specialty exposure like podiatry, musculoskeletal, ophthalmology, neurosurgery, internal medicine
• Identify discrepancies, errors or potential fraud in coding and billing practices.
• Analyze coding trends and patterns to identify areas for improvement or potential risks.
• Collaborate with stakeholders to address coding and billing issues and improve documentation practices.
• Provide feedback and education to coding staff, providers on coding guidelines, documentation guidelines and regulatory changes.
• Prepare audit reports summarizing findings, recommendations, and suggesting corrective and preventative actions.
• Stay current with updates to coding guidelines, regulations and industry best practices.
• Assist in developing and implementing policies, procedures and tools to support accurate coding and billing practices.

In this role you will

• Review medical records to ensure accurate assignment of Ambulatory payment classification (APC) codes and appropriate billing practices.
• Multi specialty exposure like podiatry, musculoskeletal, ophthalmology, neurosurgery, internal medicine
• Identify discrepancies, errors or potential fraud in coding and billing practices.
• Analyze coding trends and patterns to identify areas for improvement or potential risks.
• Collaborate with stakeholders to address coding and billing issues and improve documentation practices.
• Provide feedback and education to coding staff, providers on coding guidelines, documentation guidelines and regulatory changes.
• Prepare audit reports summarizing findings, recommendations, and suggesting corrective and preventative actions.
• Stay current with updates to coding guidelines, regulations and industry best practices.
• Assist in developing and implementing policies, procedures and tools to support accurate coding and billing practices.

• Degree in Life Science or Paramedical Studies
• CPC or CPMA
• Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledge
• Professional written and oral documentation
• 5 plus years of experience in inbound and outbound international calling
• US Healthcare knowledge with inbound calling will be preferred
• The applicant should be result oriented and meet client's expectation and should have excellent interpersonal skills with a problem-solving ability and must maintain a high level of professionalism and present the organization in best light possible
• Good knowledge of MS office (Especially MS-Excel)