Medical Coding Revenue Integrity – Multispecialty Ipdrg & Op Hyderabad

Medical Coding Revenue Integrity – Multispecialty Ipdrg & Op Hyderabad

12 Nov
|
Eclat Health Solutions
|
Hyderabad

12 Nov

Eclat Health Solutions

Hyderabad

Job Summary

We are seeking an experienced Team Lead – Medical Coding to manage Revenue Integrity operations across Multispecialty Inpatient DRG (IPDRG) and Outpatient (OP) coding services. The ideal candidate will be responsible for driving productivity, quality, compliance, team performance, and client satisfaction while ensuring adherence to coding guidelines and revenue integrity standards.

Key Responsibilities
Lead and manage a team of medical coders working on Revenue Integrity – Multispecialty IPDRG & OP accounts.
Monitor productivity, quality, TAT, SLA adherence, and overall team performance.
Allocate workloads, manage staffing, and ensure optimal resource utilization.
Conduct coding audits, quality reviews, and provide feedback to improve coding accuracy.
Review coding prospects impacting reimbursement and revenue capture.
Support denial analysis, root cause identification, and corrective action implementation.
Ensure compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, CMS, and payer-specific guidelines.
Handle client escalations and participate in governance discussions as required.
Train, mentor, and coach team members to improve quality and productivity.
Track and publish daily, weekly, and monthly operational MIS reports.
Collaborate with Quality, Training, Operations,



and Client Management teams to achieve business objectives.
Drive continuous process improvement initiatives and support automation opportunities.

Preferred Specialty Exposure
Revenue Integrity
Multispecialty Coding
Inpatient DRG (IPDRG)
Outpatient Coding (OP)
Denials Management
Coding Audits
CDI Interaction
Quality & Compliance Reviews

Required Qualifications
Graduate in Life Sciences, Pharmacy, Biotechnology, Nursing, or related discipline.
CPC, CCS, CIC, CRC, RHIT, or equivalent certification preferred.
6+ years of medical coding experience.
Minimum 1–2 years of Team Lead experience in medical coding operations.
Solid knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG methodologies, and Revenue Integrity concepts.

Key Skills
Medical Coding Operations
Revenue Integrity
IPDRG Coding
Outpatient Coding
Multispecialty Coding
Team Management
Productivity Management
Quality Audits
Denials Analysis
Client Management
Workforce Planning
SLA Management
MIS Reporting
Training & Mentoring
Process Improvement

Location

Hyderabad (Work from Office)

Employment Type

Full Time | Permanent

Industry

US Healthcare | Revenue Cycle Management (RCM) | Medical Coding Operations

📌 Medical Coding Revenue Integrity – Multispecialty Ipdrg & Op Hyderabad
🏢 Eclat Health Solutions
📍 Hyderabad

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