Position Summary

We are looking for an experienced Assistant Manager – Revenue Integrity to lead and support Revenue Integrity operations across Multispecialty, Outpatient, Facility, ED, E&M;, Surgery, Radiology, and Ancillary services. The ideal candidate should possess strong expertise in coding compliance, charge capture review, denial trend analysis, revenue optimization, auditing, medical necessity validation, documentation integrity, and operational leadership. The individual will be responsible for driving quality, productivity, client satisfaction, and process improvement initiatives while managing coding and revenue integrity teams.

Key Responsibilities

Revenue Integrity Management

- Lead Revenue Integrity operations across Outpatient, ED, E&M;, Surgery, Radiology, Ancillary, and Multispecialty specialties.
- Identify revenue leakage opportunities through coding audits, charge capture reviews, and documentation validation.
- Review coding accuracy, reimbursement risks, denials, underpayments, and compliance concerns.
- Ensure adherence to ICD-10-CM, CPT, HCPCS, NCCI edits, Medicare, and payer-specific guidelines.
- Support revenue optimization initiatives through coding and documentation improvement programs.

Leadership & Team Management

- Manage Team Leads, Auditors, and Coding Specialists.
- Drive productivity, quality, SLA, and TAT performance across assigned accounts.
- Conduct performance reviews, coaching sessions, and development planning.
- Mentor teams on Revenue Integrity methodologies, payer guidelines, and coding compliance.
- Support workforce planning, capacity management, and resource allocation.

Audit & Compliance





- Perform internal audits and review audit outcomes.
- Conduct root cause analysis on coding and billing errors.
- Develop corrective and preventive action plans.
- Support client audit responses and compliance initiatives.
- Ensure HIPAA and regulatory compliance standards are maintained.

Client & Stakeholder Management

- Participate in client governance calls, calibration sessions, and Monthly Business Reviews (MBRs).
- Present operational metrics, audit findings, denial trends, and improvement opportunities.
- Partner with Operations, Quality, Training, and Client Success teams to deliver business objectives.
- Serve as an escalation point for coding and revenue integrity issues.

Process Improvement & Analytics

- Analyze denial trends, reimbursement variances, and coding opportunities.
- Drive automation, workflow optimization, and continuous improvement initiatives.
- Develop dashboards and performance reports to monitor operational effectiveness.
- Utilize data-driven insights to improve revenue cycle outcomes.

Required Skills & Experience

Coding & Revenue Integrity

- Solid experience in:
- Revenue Integrity
- Multispecialty Coding
- E&M; (IP & OP)
- ED Coding
- Surgery Coding
- Radiology
- Ancillary Services
- Denials & Appeals
- Charge Capture Reviews




- Documentation Audits

Technical Knowledge

- Strong understanding of:
- ICD-10-CM
- CPT
- HCPCS
- NCCI Edits
- CMS Guidelines
- Revenue Cycle Management
- Medical Necessity Reviews
- Compliance & Audit Methodologies

Leadership

- Experience managing coding or revenue integrity teams.
- Exposure to productivity, quality, SLA, client escalations, and operational governance.
- Strong stakeholder management and presentation skills.

Tools

- EPIC
- 3M Encoder
- Athena
- Cerner
- eCW
- Advanced Excel
- Power BI (preferred)

Preferred Qualifications

- CPC (AAPC)
- CCS (AHIMA)
- COC
- CIC
- CRC
- B.Pharm / M.Pharm
- MBBS / BDS / Life Sciences / Healthcare-related degree preferred

Preferred Candidate Profile

- 8+ years of US Healthcare Revenue Cycle / Medical Coding experience.
- 2+ years in Team Lead, Assistant Manager, Revenue Integrity Lead, Audit Lead, or Operational Leadership roles.
- Experience handling client-facing responsibilities and governance meetings.
- Strong analytical mindset with focus on improving reimbursement, compliance, and operational efficiency.

Why Join Eclat Health Solutions?

- Opportunity to work with leading U.S. healthcare clients.
- Career growth into Manager and Senior Leadership roles.
- Exposure to Revenue Integrity, Audits, Compliance, and Transformation initiatives.
- Collaborative and high-performance work environment.

Location: Mumbai (Work From Office) Designation: Assistant Manager – Revenue Integrity (Multispecialty Coding)

Experience: 8-15 Years

Shift: US Shift / Flexible as per Business Requirement.

📌 Assistant Manager – Revenue Integrity (Multispecialty Coding) (Mumbai)
🏢 ECLAT Health Solutions
📍 Mumbai