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Medical Coding- Manager/Sr.Manager

Keywords / Skills : "Healthcare", "Medical coding", "CPC", "Quality Assurance", "Denial Management", "Attrition"

8 - 18 years
Posted: 2019-05-15

Customer Service/Call Centre/BPO
Other Customer Service/ Call Center
Any graduate
Posted On
15th May 2019
Job Description
Job Description :

Skill Requirement:

Bachelors or master's degree Life sciences/Medicine.

Coding certification from AHIMA/AAPC - CCS; CCS-P; CPC etc.

Minimum 8-10 years of medical coding and QA experience in professional coding and/or facility coding and Denial management.

Experience of working across multiple coding specialties, denial management and operations.

Strong knowledge of coding domains - E/M, ED, Radiology, Surgery, Pathology, IP DRG, HCC & Denial Management.

Strong knowledge of coding/Denial Management operations, People & Process management.

Should have handled a Team of 45+ coders.

Excellent relationship building and mentoring skills.

Excellent communication and presentation skills across all levels.

HIPAA compliant and compliant with all Industry policies and procedures.

Roles & Responsibilities:

Review and monitor day-to-day Medical coding/denial management operations and Service Level Agreements.

Take ownership of organizations coding team certification goals by preparing and mentoring the coders for different certification programs.

Be a subject matter expert to guide team for accurate coding.

Think Strategic

(a) Big Picture Perspective:

Understands the process vision & has the ability to translate the same to the team

Demonstrates an understanding of the impact of team's performance on sub /process objectives

Reviews own actions against the process objectives

Identifies long term issues, problems or opportunities for the team

(b) Business Acumen:

Appreciates the inter-dependencies between teams/functions

Understands impact of business metrics on profitability

Suggests solutions based on inferences from the data

Demonstrates expertise in functional knowledge

Demonstrates functional expertise to coach/mentor peers/team members

Drive Results

(a) Planning & Organizing:

Cost optimization and maximum utilization of resources for productivity

Comes out with new ideas for process improvements to enhance customer service.

Responsible for preparation of process budget and manpower.

(b) Directing & Monitoring:

Manages day-to-day operations of the Unit, including attendance, attrition and outages, to minimize customer impact.

(c) Accountability:

Manages Average Handling Time (AHT) as per SLAs

Accountable for the production and quality targets of the Unit

Managing the profitability of the process

(d) Problem Solving & Decision making

Is able to identify problems and take decisions independently

Provides solutions to individual and organizational problems

Partner with Customers

a) Relationship Building

Coordinating with the client on process related issues and updates

b) Passion for excellence

Manages daily performance to ensure that all Associates and Team Leads are meeting SLAs.

Meets/exceeds service and quality levels as assigned by Management/Client.

Uphold Our Client/Company values

Lead People

a) Managing Self

Identify and participate in training / developmental programs

b) Inspiring others / managing teams

Coaches and mentors Associates & Team Leads

Optimum utilization of resource to meet productivity.

Interview candidates to ensure quality of Hire.

Conducting performance appraisals

Identify key people and mentor leaders

Conducting team reviews, submitting progress reports of the team to the Program Lead

Experience Required:

Minimum 8 years of medical coding and QA experience in professional coding and/or facility coding and Denial management. Minimum 3 years of experience as Assistant Manager in running medical coding/denial management operations.

If Interested share your updated resume to [HIDDEN TEXT]


HR Executive

Contact No : 9480027119

About Company


Vibrant HR Consultancy Services is a professional recruitment firm catering to the needs of various companies across verticals. Vibrant is based out of Bangalore & services clients across India. Since our inception, we have been in the business scenario with a mission of serving the companies with the speed and quality that is required.
About Recruiter
HR Executive
Vibrant Hr Consultancy
Skills I hire for Medical rep,Legal,operations,customer support
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