Chief Medical Auditor Professional
10 hours ago
Company Overview
EXL is a leading business process management and IT services company that helps clients improve operational efficiency, reduce costs, and enhance revenue growth.
About the Role
We are seeking an experienced Chief Medical Auditor Professional to join our team. The successful candidate will be responsible for performing medical record audits, analyzing data, and identifying compliance risks and financial opportunities.
Job Responsibilities:
- Perform medical record audits and analyze data to identify trends and areas for improvement.
- Identify compliance risks and financial opportunities based on chart reviews.
- Prepare reports and executive summaries on audit results and process improvement recommendations.
- Collaborate with internal stakeholders to ensure accurate and timely completion of audits.
- Maintain professional licensure and certifications, and stay up-to-date with industry developments.
Requirements:
- Bachelor's degree in Life Sciences or related field.
- Minimum 3 years of coding experience in multispecialty surgery and E/M coding.
- Demonstrated analytical and critical thinking skills, with ability to apply principles of coding to review medical records.
- Experience with denial management, CMS Medicare, and Medicaid guidelines.
- Excellent communication and interpersonal skills, with ability to work effectively with diverse teams.
Estimated Salary Range: $80,000 - $110,000 per annum, depending on location and experience.
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