Job Title: Team Lead – Payor (Risk Adjustment coding/HCC)
Department: Production
Location: Vijayawada
Reports To: Manager – Payor
Employment Type: Full-time, Mon through Fri, with occasional evening or weekend availability as required for project deadlines.
Eligibility: Minimum of 6 years’ experience in risk adjustment coding and should have been a team lead on paper for 1 year.
No of vacancy: 1
Job Overview: We are seeking a highly motivated and experienced Team Lead – Payor (Risk Adjustment coding/HCC) to manage our risk adjustment coding team. The ideal candidate should be an AAPC/AHIMA certified seasoned operations leader who will be responsible for production and quality of a span of 30-40 coders. This role requires a deep understanding of HCC coding practices and US healthcare regulations.
He/she should lead by example.
What is expected:
-
Responsible for team’s production and quality.
-
Need to conduct weekly and monthly quality review meetings with coders.
-
Present monthly ROB on team’s performance.
-
Publish weekly performance report (production and quality) post review.
-
Should be able to deliver the base production target is achieved.
-
Monitor head count and control attrition.
-
Communicate quality standards and expectations to all stakeholders to ensure transparency and accountability.
-
Identify potential risks in the coding process impacting outgoing quality and develop strategies to mitigate them.
-
Monitor and track key performance indicators (KPIs) related to coding accuracy and compliance.
-
Monitor and make sure the audits, feedback mechanism and education process are going seamlessly and take corrective action as needed.
Additional Skills:
-
Excellent communication and interpersonal skills.
-
Positive attitude, disciplined, and punctual.
-
Ability to work independently and collaboratively in a fast-paced environment.
-
Strong organizational and time management skills.
-
Proficient in basic computer operations and a fast learner.
Educational Qualifications: Bachelor's or Master's in Life Sciences: BAMS, BHMS, BDS, BPT/MPT, B Pharm/M Pharm, B.Sc./M.Sc. (Nursing, Nutrition, Zoology, Biology, Biochemistry, Microbiology, Biotechnology, Genetics, Physician Assistant, etc.)
Immediate joiners preferred.
Certification is mandatory.
