Key Responsibilities
- Lead end-to-end medical coding operations for assigned business units, clients, specialties, or service lines
- Manage and develop coding managers, team leads, quality auditors, trainers, and large teams of medical coders to achieve operational and client goals.
- Drive performance against key metrics such as productivity, quality, turnaround time, service-level adherence, attendance, utilization, and attrition.
- Ensure accurate application of ICD-10-CM, CPT, HCPCS, and payer-specific coding guidelines, including updates to regulatory and client requirements.
- Oversee coding quality programs, internal audits, calibration sessions, error trend analysis, and corrective action planning.
- Partner with clients and internal stakeholders to review delivery performance, resolve escalations, and support account growth and retention.
- Collaborate with revenue cycle, billing, denial management, provider education, training, transition, and compliance teams to improve reimbursement outcomes.
- Establish governance routines including performance reviews, scorecards, dashboards, client reviews, and operational risk tracking.
- Support transitions, process migrations, new account implementations, and scaling initiatives with clear staffing and training plans.
- Build and maintain standard operating procedures, work allocation models, productivity frameworks, and quality controls.
- Identify opportunities for automation, workflow redesign, capacity planning, and continuous process improvement.
- Ensure adherence to HIPAA, data privacy, information security, and organizational compliance requirements.
- Manage headcount planning, hiring, employee engagement, and retention initiatives.
- Provide coaching, performance feedback,
and development plans to strengthen leadership bench strength and team capability.
- Prepare and present business reviews, operational insights, and improvement plans to senior leadership and clients.
Qualifications and Experience
- Bachelor's/Masters degree in Life Sciences, Healthcare Administration, Nursing, Pharmacy, Health Information Management, Business, or a related field.
- Candidate who is a manager with 10-12+ years of experience in medical coding, healthcare operations, or revenue cycle management, with significant leadership experience in the industry
- Strong knowledge of Anesthesia, E&M; with minor surgeries, Denial Management
- Relevant coding certification preferred, such as CPC, CCS, CIC, CRC, RHIT, or RHIA.
- Demonstrated experience managing large teams, multiple accounts, and complex operational environments.
- Experience with quality assurance, coding audits, client governance, reporting, and process improvement initiatives.
- Working knowledge of compliance, privacy, and information security requirements applicable to healthcare operations.
- Proficiency in operational reporting tools, spreadsheets, and coding or revenue cycle platforms.
Skills and Competencies
- Robust leadership and people management skills.
- Excellent communication, client-facing, and stakeholder management abilities.
- Analytical thinking with strong attention to detail and problem-solving capability.
- Ability to interpret coding guidance and translate it into operational practice.
- Strong planning, prioritization, and decision-making skills.
- Experience in change management, training governance, and performance improvement.
- High accountability, professional judgment, and execution focus.
For more details, Kindly reach out
Keerthi
(phone hidden)
[email protected]
📌 Senior Coding Manager (Hyderabad)
🏢 Data Marshall
📍 Hyderabad