Assistant Manager - SME - Coding auditor
About this role
Team & Operations Management:
Supervise and manage the daily activities of the surgery coding and audit teams, including in-house and contract auditors.
Allocate workload, monitor performance, and ensure timely completion of assigned tasks in alignment with project timelines.
Conduct regular team meetings to communicate updates, review performance, and address challenges or process changes.
Foster a positive and productive work environment that encourages collaboration and accountability.
Quality & Productivity Oversight:
Ensure that coding audits meet defined accuracy, quality, and productivity benchmarks.
Review audit results, identify trends or recurring issues, and implement corrective actions to maintain quality standards.
Collaborate with Quality Assurance and Training teams to address performance gaps through targeted coaching and retraining.
Process Management & Improvement:
Monitor operational workflows to identify bottlenecks and recommend process enhancements for greater efficiency.
Support the development and implementation of best practices in surgical coding operations.
Ensure seamless coordination between coding, auditing, and training functions to maintain alignment with business objectives.
Compliance & Reporting:
Ensure strict adherence to HIPAA, OIG, and other compliance and confidentiality regulations.
Maintain and track key performance metrics, preparing regular reports for senior management.
Address audit discrepancies, process deviations, and non-compliance issues promptly and effectively.
Stakeholder & Client Coordination:
Act as a point of contact between the audit team, management, and clients to ensure smooth communication and issue resolution.
Participate in client calls and internal reviews to discuss project status, performance, and quality outcomes.
Support audit planning and resource allocation based on client requirements and project priorities.
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.
Company at a glance
Choosing a digital partner is about more than capabilities — it’s about collaboration and character.
Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments.
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.
Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale.
Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact.
We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition.
At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward.
For more information, visit www.exlservice.com.
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