Manager at EXL Talent Acquisition Team

Chennai, tamil nadu, India -

Full Time

Start Date

Immediate

Expiry Date

19 May, 26

Salary

0.0

Posted On

18 Feb, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Coding, Auditing, Automation, Digitalization, AI Solutions, DRG Coding, Claims Validation, Predictive Analytics, UAT, ROI Projection, Benchmarking Analysis, Staffing, Scheduling, Resource Allocation, SOP Maintenance, KPI Tracking

Industry

Business Consulting and Services

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 is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

Responsibilities

The Manager is primarily responsible for identifying automation and digitalization opportunities within in-patient coding processes to enhance efficiency and reduce manual efforts using technology and AI solutions. Key duties include automating DRG coding, implementing AI-based solutions for claim validation, improving compliance via predictive analytics, and overseeing workflow optimization.