- Managing Coding for different specialty through the understanding of medical terminology, AMA guidelines, anatomy, physiology and procedures (Laboratory experience will be an added advantage)
- Heading the End to End medical coding, Denial coding Team.
- Should be able to Guide/Lead team to fix front end Denial/rejection coding
- Should use coding capability skills to pitch in Clients with solutions
- Educating Providers/clients with correct coding methodology to remain compliant
- Client Relationship , Service Delivery and Internal Stakeholder Management
- Create confidence among the employees for smooth operations and achieving organization targets
- Provide directions and structure for operating units
- Identify delivery issues or areas of concern for the client, work with the team and client physicians to resolve concerns/issues
- Implement improved processes and management methods to generate higher ROI and workflow optimization
- Create and manage operational frameworks to deliver good quality of work
- Work with delivery and training functions to create feedback loops from quality assessment to training and operations management
- Track record of delivering high quality services
- Ensuring attrition control
- Promote teamwork and cooperative effort
- Relationship with key decision makers in target market
- Ensure high client satisfaction level
- Establish the best practice across the coding services
- Attends coding and reimbursement workshops/Webinar as required
- Maintains knowledge of current and required coding certifications
- Reviews payer polices/Documents at a regular interval and update the team
- 15+ years of work experience, including experience in coding, coding audits, Pre adjudication, Work flow, Lab panel recommendation
- Strong expertise on ICD -10, E&M and Pathology & Laboratory coding
- Ability to provide supervision on quality reviews to the delivery team.
- Current Designation should be Director with 3.5+ years or Senior Director with 1.5+ years of work experience
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