21 Oct
|
Eclat Health Solutions
|
Hyderabad
21 Oct
Eclat Health Solutions
Hyderabad
Position
AGM / GM – Medical Coding Operations
Location:
Mumbai (Work from Office)
Industry:
US Healthcare | Medical Coding | Revenue Cycle Management (RCM)
Experience:
12+ Years in Medical Coding Operations with 5+ years in leadership roles managing large coding teams.
Preferred Specialty Exposure
- Profee Surgery / Endoscopy
- E&M; + Surgery
- E&M; IP
- E&M; OP
- ED Profee
- Denials
- IVR (Interventional Radiology)
- Observation
- Ancillaries
- Radiation Oncology
- Pathology
Key Responsibilities:
- Lead and manage large-scale Medical Coding Operations for US Healthcare clients.
- Drive productivity, quality, utilization, accuracy, and SLA adherence across coding teams.
- Manage multi-specialty coding operations covering Surgery, E&M;, ED, IVR, Denials, Observation, Pathology, Radiation Oncology, and Ancillaries.
- Own client governance, escalations, MBRs, QBRs, and stakeholder management.
- Lead workforce planning, recruitment, onboarding, succession planning, and capability development.
- Drive operational excellence, process improvement, automation, and transformation initiatives.
- Manage revenue targets,
forecasting, capacity planning, utilization, and operational profitability.
- Collaborate with Quality, Training, Transition, Technology, and Business Development teams to deliver business objectives.
- Ensure compliance with CPT, ICD-10-CM, HCPCS, CMS, payer-specific guidelines, and regulatory standards.
Preferred Candidate Profile
- CPC / CCS / CRC / CIC certified preferred.
- Experience managing 100+ coders and multiple leadership layers (TLs, Managers, Auditors).
- Solid exposure to client-facing operations and delivery management.
- Proven experience in transitions, ramp-ups, governance, quality management, and operational leadership.
Key Skills:
US Healthcare, Medical Coding Operations, RCM, Profee Surgery, Endoscopy, E&M;, ED Profee, IVR, Observation, Denials, Workforce Planning, Capacity Planning, Client Management, Delivery Management, SLA Management, Revenue Management, Coding Compliance, Operational Excellence, Lean Six Sigma, Team Leadership.
📌 Asst / Deputy General Manager - Coding (Hyderabad)
🏢 Eclat Health Solutions
📍 Hyderabad