Associate Vice President - Coding

Job Roles & Responsibilities:

• Managing Coding for different specialty through the understanding of medical terminology, AMA guidelines, anatomy, physiology and procedures (Laboratory experience will be an added advantage)
• Heading the End to End medical coding, Denial coding Team.
• Should be able to Guide/Lead team to fix front end Denial/rejection coding
• Setup start-up projects
• Should use coding capability skills to pitch in Clients with solutions
• Educating Providers/clients with correct coding methodology to remain compliant
• Client Relationship , Service Delivery and Internal Stakeholder Management
• Create confidence among the employees for smooth operations and achieving organization targets
• Provide directions and structure for operating units
• Identify delivery issues or areas of concern for the client, work with the team and client physicians to resolve concerns/issues
• Implement improved processes and management methods to generate higher ROI and workflow optimization
• Create and manage operational frameworks to deliver good quality of work
• Work with delivery and training functions to create feedback loops from quality assessment to training and operations management
• Track record of delivering high quality services
• Ensuring attrition control
• Promote teamwork and cooperative effort
• Relationship with key decision makers in target market
• Ensure high client satisfaction level
• Establish the best practice across the coding services
• Attends coding and reimbursement workshops/Webinar as required
• Maintains knowledge of current and required coding certifications
• Reviews payer polices/Documents at a regular interval and update the team

Candidate Requirements:

• Certified coder
• 15+ years of work experience, including experience in coding, coding audits, Pre adjudication, Work flow, Lab panel recommendation
• Strong expertise on ICD -10, E&M and Pathology & Laboratory coding
• Ability to provide supervision on quality reviews to the delivery team.
• Current Designation should be Senior Director with 1.5+ years of work experience or Associate Vice President

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