11 Aug
|
r3 Consultant
|
Pune
11 Aug
r3 Consultant
Pune
Job Description Director / Senior Director – Medical Coding & Denial Management
n R3 | Location: India | Full-time
n R3 is hiring a Director / Senior Director to lead our client's end-to-end medical coding and denial management operations. This is a hands-on leadership role for a certified coder who can drive coding quality, client relationships, and team performance at scale.
n What You'll Do
n n Lead end-to-end medical coding and denial coding operations across specialties, applying medical terminology, AMA guidelines, anatomy, physiology, and procedural knowledge (lab coding experience a plus)
n Guide the team on fixing front-end denials and rejections, and own start-up/transition projects
n Partner with clients to pitch coding solutions and educate providers on compliant coding methodology
n Own client relationships, service delivery, and internal stakeholder management
n Set direction and operating structure for coding teams; build frameworks that drive quality and ROI
n Resolve client delivery escalations by working directly with team members and client physicians
n Build feedback loops between quality assessment, training, and operations
n Drive attrition control, team engagement, and a strong client satisfaction track record
n Establish best practices across coding services; stay current via coding/reimbursement workshops and certifications
n Review payer policies regularly and cascade updates to the team
n n What You Bring
n n Active coding certification (CPC/CCS or equivalent)
n 15+ years in medical coding, including coding audits, pre-adjudication, workflow design, and lab panel recommendations
n Robust command of ICD-10, E&M;, and Pathology & Laboratory coding
n Proven experience supervising quality reviews for a delivery team
n Currently a Vice President / Director with 3.5+ years, or Senior Director with 1.5+ years, in current designation
n
📌 Medical Coding Vice President (Pune)
🏢 r3 Consultant
📍 Pune