Lead end-to-end operations of the medical coding function, ensuring delivery excellence, accuracy, and compliance with HCC and client-specific coding guidelines.
Managing a team; oversee day-to-day coding operations, workload distribution, and performance tracking.
Implement and monitor coding quality programs, including internal audits, compliance checks, and accuracy improvement plans.
Act as the key liaison between cross-functional stakeholders.
Drive performance metrics, team KPIs, and ensure SLAs/TATs are consistently met or exceeded across projects.
Mentor, coach, and develop leaders within the team to create a strong leadership pipeline and ensure succession readiness.
Stay informed about regulatory changes in ICD-10, CPT, CMS-HCC, and payer guidelines; lead knowledge dissemination initiatives.
Support client communication on operational updates, quality discussions, and project escalations.
Play a key role in hiring, onboarding, and continuous skill development of coding teams in alignment with organizational growth.

Requirements

Have
10+ years
of experience in medical coding, with a minimum of 5 years in a
leadership/managerial
role.
Possess in-depth experience in
HCC coding
, along with exposure to multi-specialty coding (eg, E/M, ED, IP/OP).
Hold a valid certification such as
CPC, CRC, COC, or CCS
from AAPC/AHIMA or any other equivalent certificate.
Demonstrate strong understanding of
coding guidelines
,
CMS risk adjustment models
, and
payer compliance protocols
.
Have a proven track record in managing large teams, improving operational efficiency, and delivering high-quality results.
Are proficient in
MS Excel, Word, PowerPoint
, and capable of handling data analysis and reporting independently.
Possess excellent
communication, leadership, problem-solving, and client-handling
skills.
Are committed to
upholding ethical standards
, data confidentiality, and compliance with organizational values.

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