EXL is hiring IPDRG - Lead Assistant Manager

9 - 13 years

0 Lacs

Posted:2 weeks ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As a Lead Assistant Manager in DRG Coding and Digital Automations at EXL India, your primary responsibility would be to identify automation and digitalization opportunities in in-patient coding processes. Your role will involve streamlining processes, enhancing efficiency, and reducing manual efforts through the implementation of innovative technology and AI solutions. You will be expected to align these initiatives with organizational goals to drive success. To qualify for this position, you should hold a Bachelor's Degree in B.sc/M.Sc./Nursing/Pharmacy/Biotech and possess relevant certifications such as CPC, CCS, and CIC. Additionally, you should have a minimum of 9 to 12 years of experience in medical coding, auditing, and automation. Key skills and abilities required for this role include advanced knowledge of medical coding software platforms, particularly inpatient DRG coding. Experience in outpatient medical coding and working on US healthcare automation projects will be advantageous. Proficiency in automation tools and programming languages like Python, SQL, and R would also be beneficial. Your primary roles and responsibilities will include automating DRG Coding tasks, implementing AI-based solutions for claims validations, and utilizing predictive analytics to improve compliance. You will collaborate with various stakeholders including physicians, IT professionals, SMEs, and medical coders to drive AI-assisted decision-making automations. Additionally, you will focus on optimizing workflows, conducting UAT, and evaluating the performance of automated models. In addition to the primary responsibilities, you will also oversee operations of healthcare facilities, manage staffing and resource allocation, and stay updated on changes in the healthcare industry. You will be involved in developing quality improvement initiatives, strategic planning processes, and conducting market analysis to understand the competitive landscape. Maintaining SOP and Audit manuals, tracking key performance indicators, and estimating the return on investment will also be part of your responsibilities. If you have the required qualifications and experience for this role, we encourage you to send your CV to karan.kinger@exlservice.com. Join us at EXL India and be a part of our dynamic team driving innovation in DRG Coding and Digital Automations.,

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