Assistant Delivery Manager@Accesshealthcare,Chennai

Role: Assistant Delivery Manager | Domain: Operation coding SQ function | Reporting: Delivery Manager or above

Role summary:

The Assistant Manager of Medical Coding Quality is responsible for overseeing and enhancing the accuracy, compliance, and overall quality of medical coding operations. This role involves managing a team of coding professionals, ensuring adherence to regulatory standards, and implementing quality assurance processes. The Senior Manager will collaborate with cross-functional teams to optimize coding practices, support revenue cycle operations, and mitigate compliance risks.

Education Experience & Other requirements

• Graduation: Any
• Coding certification: CPC or Any Relevant Certification equivalent to Cpc
• Specialization: HCC

Must have minimum 10 years of experience

• Should have HCC
• Fluent in communication
• Should have GB certification or should have good exposure to quality principles

Key Responsibilities:

1. Quality Assurance and Compliance: Develop and implement medical coding quality standards and audit processes to ensure coding accuracy and compliance with ICD, CPT, and HCPCS coding guidelines. Stay updated on changes in regulatory requirements, payer policies, and coding best practices. Monitor and enforce compliance with HIPAA, CMS, and other applicable regulations.

2. Team Leadership and Development: Lead and mentor a team of quality analysts, fostering a culture of continuous learning and improvement. Conduct performance evaluations, provide feedback, and design individualized development plans. Coordinate training programs for QAs to enhance proficiency and maintain certifications.

3. Operational Excellence: Analyse coding accuracy rates and error trends and develop action plans to address gaps. Collaborate with cross functional teams to resolve discrepancies and optimize processes. Establish and track key performance indicators (KPIs) related to coding quality and process improvement.

4. Data Analysis and Reporting: Provide regular reports on coding quality metrics to leadership, highlighting trends, issues, and recommended improvements. Conduct root cause analysis of errors to identify systemic issues and propose solutions.

5. Process Improvement: Identify opportunities for process improvements to enhance coding accuracy, reduce denials, and improve claim turnaround times.

Skills:

• Strong understanding of coding guidelines, compliance standards, and regulatory requirements.
• Exceptional leadership, communication, and interpersonal skills.
• Proficiency in coding software, EHR systems, and data analytics tools.
• An analytical mindset with the ability to interpret complex data and drive actionable insights.

Key Competencies:

• Attention to detail and commitment to high-quality standards.
• Problem-solving and critical thinking abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Collaborative and proactive approach to cross-functional team interactions.

@accesshealthcare.com

Contact: 7305291728