We are seeking an experienced and strategic VP – Revenue Cycle Management (RCM) / Medical Coding Head to lead large-scale medical coding operations for US Healthcare clients. The role will be responsible for end-to-end coding delivery, operational excellence, compliance governance, client relationship management, and business growth initiatives.
The ideal candidate should have extensive experience in Medical Coding, Revenue Cycle Management (RCM), Healthcare Compliance, Quality Management, and Team Leadership while driving operational efficiency and profitability.
Key ResponsibilitiesStrategic Leadership
- Develop and implement long-term coding and RCM strategies.
- Lead organizational growth initiatives and operational expansion plans.
- Drive automation and digital transformation projects including AI-assisted coding, NLP, and Computer-Assisted Coding (CAC).
- Establish operational governance frameworks and best practices.
Operations Management
- Oversee end-to-end medical coding operations across multiple specialties.
- Ensure optimal productivity, quality, and turnaround time (TAT) performance.
- Monitor delivery metrics and implement continuous improvement initiatives.
- Manage resource planning, capacity utilization, and workforce optimization.
Compliance & Risk Management
- Ensure compliance with HIPAA, CMS, OIG, ICD-10, CPT, HCPCS, and other healthcare regulations.
- Lead internal and external audits.
- Develop risk mitigation strategies and compliance monitoring programs.
- Ensure coding accuracy and audit readiness across all accounts.
Financial & Business Management
- Own operational budgets, profitability, and cost optimization initiatives.
- Drive revenue enhancement and leakage prevention programs.
- Monitor key financial metrics and business performance indicators.
- Support business development and client acquisition efforts.
Client Relationship Management
- Act as the primary executive contact for key client accounts.
- Conduct governance meetings and business reviews.
- Address escalations and ensure high client satisfaction levels.
- Identify opportunities for account growth and service expansion.
Team Leadership
- Lead large-scale coding teams, managers, directors, and support functions.
- Build high-performance teams through coaching and mentoring.
- Drive employee engagement, retention, and succession planning.
- Promote a culture of quality, accountability, and continuous learning.
Key Performance Indicators (KPIs)
- Coding Accuracy: 97%+
- Client Satisfaction (CSAT)
- Revenue Leakage Reduction
- EBITDA & Profitability Targets
- SLA and TAT Adherence
- Compliance Audit Scores
- Employee Retention and Engagement
- Operational Efficiency Metrics
Required Qualifications
- Bachelor's Degree in Life Sciences, Healthcare Management, Pharmacy, Nursing, or related field.
- CPC, CCS, CCS-P, RHIA, RHIT, or equivalent coding certification preferred.
- Additional certifications in Healthcare Compliance or RCM will be an advantage.
Experience Required
- 20+ years of experience in Medical Coding and Revenue Cycle Management.
- Proven leadership experience managing large healthcare operations.
- Strong exposure to US Healthcare Coding standards and compliance regulations.
- Experience managing multi-specialty coding programs and large client portfolios.
- Demonstrated success in client-facing leadership roles.
Required Skills
- Medical Coding Operations
- Revenue Cycle Management (RCM)
- Healthcare Compliance & Auditing
- Strategic Planning
- Client Relationship Management
- Financial & Budget Management
- Process Improvement & Transformation
- Team Leadership & People Management
- Quality Assurance
- Stakeholder Management
Compensation
- Competitive salary package
- Performance-based incentives
- Leadership growth opportunities
Work Location: In person
