EXL is hiring IPDRG - Lead Assistant Manager EXL

9.0 - 13.0 years

0 Lacs

chennai, tamil nadu

On-site

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.,

Posted 2 weeks ago

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EXL is hiring IPDRG - Assistant Manager EXL

7.0 - 11.0 years

0 Lacs

chennai, tamil nadu

On-site

The Assistant Manager position at EXL India involves responsibility for identifying opportunities for automation and digitalization in in-patient coding processes, with the aim of streamlining operations, enhancing efficiency, and reducing manual efforts through the implementation of innovative technology and AI solutions that are in line with organizational objectives. The ideal candidate for this role should possess a Bachelor's Degree in fields such as B.Sc, M.Sc, Nursing, Pharmacy, or Biotech, along with relevant certifications including CPC (Certified Professional), CCS (Certified Coding Specialist), and CIC (Certified Inpatient Coder). The Assistant Manager is expected to have 7 to 10 years of experience in medical coding, auditing, and automation. Key skills and abilities required for this position include advanced knowledge of medical coding software platforms such as 3M Code Finder, Optum360, True Code, Epic, and Cerner, with a minimum of 5 years of experience in Inpatient DRG coding. Experience in outpatient medical coding is considered advantageous. The candidate should also have mandatory experience in US healthcare automation projects, as well as knowledge of automation tools and programming languages like Python, SQL, and R. Proficiency in Microsoft Outlook, Excel, Word, and Power BI is also essential. Primary responsibilities of the Assistant Manager role include automating DRG Coding processes to streamline repetitive tasks, implementing AI-based solutions for DRG claims validations, enhancing compliance through predictive analytics, and developing AI-assisted decision-making automations for diagnosis and procedure codes. The Assistant Manager will collaborate with physicians, IT professionals, subject matter experts, and medical coders to optimize workflows, automatically extract data from medical records for auditing purposes, conduct User Acceptance Testing (UAT), provide feedback to relevant teams, retrain and evaluate the performance of automated models, estimate return on investment (ROI), and analyze benchmarking data. In addition to the primary responsibilities, the Assistant Manager may also oversee operations of healthcare facilities, manage staffing, scheduling, and resource allocation, stay informed about changes in healthcare regulations, implement quality improvement initiatives, engage in strategic planning processes to align organizational goals, conduct market analysis to understand the competitive landscape, maintain Standard Operating Procedures (SOPs) and Audit manuals, and track key performance indicators (KPIs). Interested candidates are requested to send their CVs to karan.kinger@exlservice.com for consideration.,

Posted 2 weeks ago

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