4100974-Lead Assistant Manager

4 hours ago


Noida, Uttar Pradesh, India EXL Full time ₹ 9,00,000 - ₹ 12,00,000 per year
Description
Overview: The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Review medical records to ensure accurate coding and billing practices in accordance with established guidelines and regulations. 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. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Skills and abilities:
•  Auditing experience on IP DRG.
•   Knowledge in Microsoft outlook/excel/word.
•    Exposure on 3M software and NLP tool. ADDITIONAL AND ESSENTIAL RESPONSIBILITIES:
• Follow every aspect of SOP without fail 
•       Complete received Audits with Quality
•       To achieve Quality and production target
•       Follow project related protocols  and instructions 
•       Escalate issues, identify trends...
•       Update all the logs like productivity, Clarification log, and any other logs applicable, daily 
•       Check with Manager /TL in case of clarifications 
•       All emails from Manager should be answered promptly without fail
•       Ensure compliance of entire team for HIPAA,OIG
•       Good excel skills 
•       Flexibility
•       Good Communication


  • Noida, Uttar Pradesh, India EXL Full time ₹ 2,50,000 - ₹ 7,50,000 per year

    DescriptionRoles Responsibilities: Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery, Facility coding  and APC payments systems knowledge with minimum 3 years of experience in surgery. Must possess good communication skill with neutral accent. Initiate telephone calls to provider office to communicate the...


  • Noida, Uttar Pradesh, India EXL Full time ₹ 12,00,000 - ₹ 24,00,000 per year

    DescriptionThe EXL JourneyWe drive business forward with data & AI.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. ;Our...


  • Noida, Uttar Pradesh, India EXL Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    DescriptionBasic Function – ;To ensure that all the banking transaction processed accurately on a daily basis without delays.Payments are recorded accurately and properly reconciled.Ensure that proper follow should be done for variances and unposted transaction.Essential Functions - ;To review/process bank transaction on a daily basis with...


  • Noida, Uttar Pradesh, India EXL Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    DescriptionDepartment: Operations  Span of Control: Persons Reports to: Manager Responsibility Level:  Lead Assistant Manager Positions reporting into this role: CCE, Sr. CCEs, IC, SMEs and Process Trainers Primary Role: - Should be open for night/rotational shifts Ensure all KPI's are met regularly Proactive communication with internal and external...


  • Noida, Uttar Pradesh, India EXL Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    DescriptionJob Description Position Title, Responsibility Level AM/ LAM - Legal  Function Legal Reports to  Head of India Legal Permanent/ Temporary Permanent Span of Control Location  Noida, India Basic Function To assist the Legal Function. Should be capable of handling multiple legal assignments and ensure minimization of legal risks to the...


  • Noida, Uttar Pradesh, India EXL Talent Acquisition Team Full time ₹ 8,00,000 - ₹ 25,00,000 per year

    Review ceded/assumed premium, commission, losses & IBNR results from the reinsurance system Ensure accurate accounting for premiums, claims, commissions, and reserves Prepare, review, and analyze monthly, quarterly, and annual financial statements Prepare journal entries and correct discrepancies in financial records Maintain proper records of transactions...


  • Noida, Uttar Pradesh, India EXL Talent Acquisition Team Full time ₹ 15,00,000 - ₹ 25,00,000 per year

    Hard Core IRIS for Health Engineers who have experience working on IRIS for Health 5/7 Years Experience 2/3 Years on ADT/CCDA/FHIR and conversion services using SDA and DTL model (at least one production implementation of Conversion services to FHIR) Experience in US Healthcare domain and HL7 standards is preferred. Experience with ADT, CCDA and FHIR...

  • Assistant Manager

    2 weeks ago


    Noida, Uttar Pradesh, India MY NONU Full time ₹ 4,00,000 - ₹ 12,00,000 per year

    Company DescriptionExperience a transformative online presence with Our dedicated team assists in dominating the social media landscape and establishing a powerful brand identity. Based in Meerut, goes above and beyond by offering complimentary grocery delivery services. We provide high-quality products at affordable prices, enabling you to lead a...


  • Noida, Uttar Pradesh, India EXL Talent Acquisition Team Full time ₹ 6,00,000 - ₹ 18,00,000 per year

    Responsible for the monthly close of actuals (revenue and expenses) for IS; Responsible for the monthly/quarterly/annual financial planning and analysis for IS; Investigate and prepare variance analysis and rollforwards for budget/forecast/actual reporting periods; Prepare support schedules for inter/intra company allocations, accruals, and corresponding...


  • Noida, Uttar Pradesh, India EXL Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    DescriptionJob Description ;Compliance Program ;Ensure timely delivery of all compliance activities and reporting ;Assist in driving compliance activities for the functionConduct periodic internal reviews/ audits and share findings with managementProvide support to management during internal/external audits and assist in preparing for upcoming audits ;Ensure...