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EXL

We make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay

Lead Assistant Manager – Behavioral Health Quality Analyst

AnalystAnalystFull TimeRemoteSeniorTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

1 day ago

Salary

$80K - $85K / year

Seniority

Senior

Professional Certificate3 yrs expEnglish

Job Description

• Oversee work performed by the BH audit program to ensure that EXL’s standard of accuracy is met. • Audits are performed by validating the accuracy of the coding billed in relation to the medical documentation. • Determine if a discrepancy exists in the coding and documents the findings. • Undertake a quality review of random and targeted coding audits to check the accuracy and completeness of audits performed.

Job Requirements

  • 3-5; years of experience with Behavioral Health services, including mental health and substance use disorder treatment.
  • Preferred one or more of the following credentials: CCS, RHIA, RHIT, CPC, Registered Nurse, MSW; preference given to those with multiple credentials.
  • Superior knowledge of industry standards and regulations related to Behavioral Health.
  • Prefer candidate with prior Behavioral Health retrospective overpayment identification auditing experience.
  • Proficient in BH modifier application following appropriate Medicare and NCCI guidelines.
  • Ability to write professional notes quoting resources of Official Coding guidelines, ICD-10 Coding Handbook, Coding Clinic and/or other recognized sources.
  • Excellent verbal and written communication skills.
  • Ability to mentor and instruct through audits.
  • Strong organizational skills and attention to detail.
  • Ability to work in a team environment and independently as needed.
  • Demonstrate flexibility and adaptability.
  • Superior BH auditing and monitoring skills.
  • Excellent decision-making skills and sound judgment.
  • Strong technical knowledge and ability to learn new systems quickly.
  • Ability to complete tasks efficiently and resolve problems within set timelines.
  • Must be able to work under deadlines.
  • Must be able to utilize independent decision-making skills in a wide variety of situations.
  • Requires a high degree of accuracy in the performance of varied responsibilities.
  • Personal computer skills required. Experience with: Excel, PowerPoint, Outlook, and Word.
  • Strong interpersonal skills required.

Benefits

  • EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
  • You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills—key aspects for personal and professional growth.
  • We provide guidance/coaching to every employee through our mentoring program wherein every junior-level employee is assigned a senior-level professional as an advisor.
  • The sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond

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