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).
Robust 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.

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