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

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 Kindly Note: At Credence, we uphold the highest standards of integrity in our recruitment process. We do not charge any fees at any stage of the hiring process, and we strictly prohibit any third parties, vendors, or individuals from soliciting money in exchange for job opportunities at Credence. 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] Your safety and trust are significant to us. Thank you for helping us maintain a fair and transparent hiring environment.

📌 ASSOCIATE VICE PRESIDENT – CODING (Pune)
🏢 Innoval Global Solutions
📍 Pune