We are seeking an experienced Coding Manager / Senior Manager to lead day-to-day medical coding operations for US Healthcare clients. The role will be responsible for managing coding teams, ensuring productivity and quality targets are met, maintaining compliance standards, and driving operational excellence.
The ideal candidate should have strong people management skills, extensive medical coding experience, and the ability to manage multiple projects while ensuring client satisfaction and business objectives are achieved.
Key ResponsibilitiesOperations Management
- Manage end-to-end medical coding operations across assigned accounts and specialties.
- Ensure timely completion of coding assignments within established turnaround times (TAT).
- Monitor team productivity, utilization, and quality metrics.
- Ensure adherence to client-specific coding guidelines and industry standards.
- Drive operational efficiency and process improvement initiatives.
Team Leadership
- Lead and manage teams of 80–150 medical coders, auditors, and team leaders.
- Conduct regular performance reviews and coaching sessions.
- Identify training needs and support employee development initiatives.
- Foster a high-performance and collaborative work environment.
- Manage workforce planning, shift scheduling, and resource allocation.
Quality & Compliance
- Ensure compliance with HIPAA, CMS, ICD-10, CPT, HCPCS, and client-specific guidelines.
- Partner with QA teams to address coding errors and quality concerns.
- Monitor audit findings and implement corrective action plans.
- Drive continuous quality improvement initiatives.
Client Management
- Participate in client meetings and operational review discussions.
- Provide regular updates on performance metrics and delivery status.
- Handle client escalations and ensure timely resolution.
- Build strong relationships with client stakeholders.
Reporting & Performance Monitoring
- Track key operational metrics including productivity, accuracy, TAT, and utilization.
- Prepare daily, weekly, and monthly operational reports.
- Analyze performance trends and recommend improvement strategies.
- Monitor account profitability and resource utilization.
Cross-Functional Collaboration
- Coordinate with Billing, AR, CDI, Quality, Compliance, and Training teams.
- Support transition and implementation of new projects.
- Participate in process improvement and automation initiatives.
Key Performance Indicators (KPIs)
- Coding Accuracy: 95%+
- Productivity per FTE
- Turnaround Time (TAT) Compliance
- SLA Achievement
- Resource Utilization
- Client Satisfaction Scores
- Team Retention & Engagement
- Error Rate Below 3%
- Operational Efficiency Metrics
Required Qualifications
- Bachelor's Degree in Life Sciences, Pharmacy, Nursing, Healthcare Administration, or related field.
- CPC, CCS, CCS-P, RHIT, RHIA, or equivalent coding certification preferred.
- Management certifications will be an added advantage.
Experience Required
- 10–15 years of experience in Medical Coding and Revenue Cycle Management.
- Minimum 3–5 years of experience managing large coding teams.
- Strong exposure to US Healthcare coding processes and compliance requirements.
- Experience handling client-facing responsibilities and operational governance.
Required Skills
- Medical Coding Operations
- Team Management & Leadership
- Revenue Cycle Management (RCM)
- Productivity & Performance Management
- Client Relationship Management
- Healthcare Compliance
- Quality Assurance
- Workforce Planning
- Data Analysis & Reporting
- Process Improvement
Preferred Specialty Experience
- Inpatient Coding
- Outpatient Coding
- Emergency Department Coding
- Surgery Coding
- HCC Risk Adjustment Coding
- Professional Fee Coding
- Multi-Specialty Coding
Compensation & Benefits
- Competitive Salary Package
- Performance-Based Incentives
- Leadership Development Programs
- Career Advancement Opportunities
- Dynamic and Growth-Oriented Work Environment
Pay: ₹100,000.00 - ₹1,353,160.60 per year
Work Location: In person
