About EXL Government Job vs Private Job 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.

Government Job vs Private Job About EXL 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.

About EXL Government Job vs Private Job 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.

Primary Responsibilities: Establish, mandate and implement standard policies, procedures and best practices across the company to promote compliance with applicable laws and contractual obligations Conduct state-specific legal research and monitor changes in requirements to mitigate risks and achieve compliance Support the collection of data for regulatory filings, coordinate and develop reports, projects and use assessment tools to verify compliance Predict

Primary Responsibilities: Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies Adherence to state and federal compliance policies and contract compliance Assist the prospective team with special projects and reporting Work is frequently completed without established procedures Works independently May act

Knowledge of medical terminology, anatomy and physiology and ICD-9/10-CM, advanced medical terminologies, pharmacology -The Medical Record Coder will code medical records in electronic formats using ICD-9-CM / ICD-10-CM for charts in dates of service over a two-year range. Monitor regulatory changes as they apply to ICD-10 coding guidelines. Serve as a resource to Medicare Advantage Coding to ensure reimbursement accuracy.