15h Left Manager

4 weeks ago


Chennai, Tamil Nadu, India EXL Service Full time

Skills RequirementsJob Name ManagerPosition Title ManagerCoding Audit AutomationBand C1ERP Full Position ID Reporting to Sr ManagerLocation Site EXL IndiaOverview 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 Bachelorxe2x80x99s Degree B sc M Sc Nursing Pharmacy BiotechCertifications CPC - Certified Professional CCS - Certified Coding Specialist CIC - Certified Inpatient Coder Experience Manager 10 to 15 yearsxe2x80x99 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 Service


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