Key Responsibilities

1. End-to-End Operational Ownership

o Own complete delivery of assigned medical coding processes/accounts across shifts and locations

o Translate client SLAs, quality benchmarks, and productivity targets into daily execution plans

o Ensure uninterrupted operations through effective manpower planning, workload distribution, and shift coverage

o Monitor volumes, backlogs, and capacity to proactively mitigate delivery risks

o Act as the primary operational escalation point and ensure timely resolution of delivery issues

2. Productivity, SLA & Financial Control

o Drive achievement of productivity, accuracy, and utilization targets in line with business plans

o Monitor SLA, TAT, and throughput metrics to prevent revenue leakage and penalties

o Identify cost optimization opportunities through efficient staffing, cross-skilling, and utilization control

o Support budget adherence by managing overtime, shrinkage, and resource allocation

3. Quality & Compliance Management o Ensure strict adherence to ICD-10-CM, CPT, HCPCS, payer-specific, and client defined coding guidelines

o Review audit scores, error trends, defect leakage, and rework analysis on a continuous basis

o Partner with Quality and Training teams to drive targeted coaching, refresher training, and calibration sessions

o Implement and track Corrective and Preventive Action (CAPA) plans to sustain quality improvements

o Ensure compliance with HIPAA, PHI handling, and internal data security policies

o Support internal, external, and client audits; ensure timely closure of audit observations

4.



Client & Stakeholder Engagement

o Participate in regular client calls, governance reviews, and operational discussions

o Prepare and present accurate MIS, dashboards, and performance narratives to clients and leadership

o Manage day-to-day client expectations and ensure transparency in delivery updates

o Handle operational escalations professionally and maintain high client confidence

o Support current client onboarding, scope changes, and transition activities

5. People Leadership & Workforce Management

o Lead, mentor, and develop Team Leads, Assistant Managers, and frontline supervisors

o Conduct regular performance reviews, coaching sessions, and capability assessments

o Drive employee engagement, motivation, and retention initiatives

o Identify training needs and coordinate with Training teams for skill enhancement

o Support hiring, onboarding, and certification planning for coding teams

o Build a strong succession pipeline and promote internal talent growth

6. MIS, Analytics & Governance

o Review daily, weekly, and monthly operational MIS and dashboards

o Analyze trends across quality, productivity, attrition, and utilization





o Provide data-driven insights and action plans to senior leadership o Ensure accuracy, consistency, and timeliness of reporting

7. Process Excellence & Continuous Improvement

o Identify opportunities for process simplification, standardization, and efficiency improvement

o Lead continuous improvement initiatives using Lean, Six Sigma, or best-practice frameworks

o Ensure SOPs, workflows, and process documentation are current and followed

o Collaboration with Technology teams for automation and tool-based improvements

8. Risk Management & Business Continuity

o Identify operational, quality, and compliance risks proactively

o Develop mitigation plans to ensure delivery continuity during high volumes or attrition

o Support business continuity planning and disaster recovery readiness.

Eligibility & Experience:

Bachelor’s degree in Life Sciences, Healthcare, Pharmacy or Nursing.

Master’s degree in healthcare management, Hospital Administration, or Business Administration (MBA) preferred.

Medical Coding certification (CPC / CCS / CIC) preferred.

10+ years of experience in US Healthcare / Medical Coding operations.

3-6+ years in a managerial role such as OM / SOM/AM.

Proven experience managing large-scale, multi-client medical coding operations.

Demonstrated capability in leading 150+ FTE organizations through multi-layer leadership structures.

Pay: ₹1,000,000.00 - ₹2,000,000.00 per year

Benefits:

- Health insurance
- Provident Fund

Work Location: In person

📌 Operations Manager _ Medical Coding (India)
🏢 Annova Solutions
📍 India