- Manager, Service Line
Key Responsibilities
Denial Prevention & Revenue Integrity
- Lead denial prevention initiatives by monitoring coding-related denial trends, performing root cause analysis, and implementing corrective actions to improve revenue integrity and coding accuracy.
- Collaborate with operational, quality, and client stakeholders to strengthen controls that minimize denial leakage and improve claim outcomes.
Coding Quality & Standardization
- Partner with internal benchmarking and excellence teams to evaluate existing coding workflows and identify opportunities for standardization.
- Drive consistency in coding practices across inpatient and complex clinical coding engagements through audit reviews, feedback mechanisms, and best-practice adoption.
- Establish governance processes that promote coding accuracy, compliance, and reduced variability in coding outcomes.
Process Excellence & Continuous Improvement
- Conduct process assessments, value stream mapping (VSM), and workflow reviews to identify inefficiencies and optimization opportunities.
- Design and implement standardized operating procedures, streamlined workflows, and automation opportunities to improve operational efficiency.
- Lead continuous improvement initiatives focused on enhancing service delivery, reducing waste, and improving overall productivity.
Productivity & Performance Optimization
- Analyze productivity metrics across global delivery locations and identify drivers of performance variation.
- Collaborate with offshore and onshore teams to align operating practices, productivity standards, and performance expectations.
- Implement performance improvement initiatives that drive operational consistency and sustainable productivity gains.
Stakeholder Management & Governance
- Engage with leadership, operations, quality, and client stakeholders to drive alignment on service line objectives and operational priorities.
- Establish KPI monitoring, reporting, and governance mechanisms to track quality, productivity, compliance, and process improvement outcomes.
- Present insights, recommendations, and progress updates to senior leadership and support strategic decision-making.
Operational Leadership
- Lead and mentor coding operations teams, fostering a culture of accountability, continuous learning, and operational excellence.
- Drive adoption of industry best practices, standardized methodologies, and data-driven decision-making across the service line.
- Support organizational transformation initiatives focused on quality enhancement, efficiency improvement, and business growth.
Interested candidates please share your resumes to my Email ID Sravya Nalikela -
[email protected]
📌 Manager - Service Line (Bengaluru)
🏢 Omega Healthcare
📍 Bengaluru