Operations (RCM)

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 good 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

- Solid 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

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If you are approached by anyone requesting payment or offering you a position at Credence in exchange for money, do not engage with them. Such actions are fraudulent and not authorized by Credence. Please report any such incidents immediately to our official HR team at [email protected]

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Job Category: Operations (RCM)

Job Type: Full Time

Job Location: Pune IN

📌 Associate Vice President – Coding (India)
🏢 Credence Global Solutions
📍 India