Job Roles & Responsibilities

 Managing Coding for different specialty through the understanding of medical terminology, AMA

guidelines, anatomy, physiology and procedures (Laboratory experience will be an added

advantage)

 Heading the End to End medical coding, Denial coding Team.

 Should be able to Guide/Lead team to fix front end Denial/rejection coding

 Setup start-up projects

 Should use coding capability skills to pitch in Clients with solutions

 Educating Providers/clients with correct coding methodology to remain compliant

 Client Relationship , Service Delivery and Internal Stakeholder Management

 Create confidence among the employees for smooth operations and achieving organization targets

 Provide directions and structure for operating units

 Identify delivery issues or areas of concern for the client, work with the team and client

physicians to resolve concerns/issues

 Implement improved processes and management methods to generate higher ROI and

workflow optimization

 Create and manage operational frameworks to deliver valuable quality of work





 Work with delivery and training functions to create feedback loops from quality assessment to

training and operations management

 Track record of delivering high quality services

 Ensuring attrition control

 Promote teamwork and cooperative effort

 Relationship with key decision makers in target market

 Ensure high client satisfaction level

 Establish the best practice across the coding services

 Attends coding and reimbursement workshops/Webinar as required

 Maintains knowledge of current and required coding certifications

 Reviews payer polices/Documents at a regular interval and update the team

Candidate Requirements

 Certified coder

 15+ years of work experience, including experience in coding, coding audits, Pre adjudication,

Work flow, Lab panel recommendation

 Strong expertise on ICD -10, E&M; and Pathology & Laboratory coding

 Ability to provide supervision on quality reviews to the delivery team.

 Current Designation should be Director with 3.5+ years or Senior Director with 1.5+ years of work experience

📌 Assistant Vice President - Coding (Pune)
🏢 r3 Consultant
📍 Pune