Deputy Manager Quality Team

Requirements

• Education Background:
• Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others
• Certification:
• Should be a certified coder AAPC / AHIMA CCS/CPC/CPC-H/CCS-P
• Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology
• Should have 10-12 yrs. coding experience with about 3-4 yr experience as a Team Leader
• Should be able to manage and enable teams to reach their goals
• Knowledge of organizational structure, workflow, and operating procedures
• Proficient in healthcare reimbursement methodologies
• Good analytical and communication skills
• Solid interpersonal and communication skills
• Solid acumen towards employee engagements & driving customer satisfaction
• Should be able to work closely with SME, Auditor and Trainer and identify training needs for outliers
• Ability to effectively provide 1 on 1 coaching
• Ability to monitor absences and overall day to day operations
• Ability to identify areas of weakness and provide educational teaching to improve those areas of weakness

Roles and Responsibilities post training:

• Maintain knowledge of coding and billing requirements and regulatory changes
• KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition
• Quick turnaround using logical understanding of data
• Manages overall personnel, performance, and discipline of the assigned project(s)
• Provide expertise and leadership in assigned functional area
• Manage relationship with internal stakeholders and functions
• Manage all client interaction and client communication. Should front end the relationship with the client
• Review and analysis of periodic reports and metrics
• Evaluation of operational practices and procedures
• Provide support to quality initiatives targeted towards process improvements
• Actively involved in the internal audit support, ensuring all compliance parameters are met
• Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork
• Provide direction to staff; ensure resolution of problems; sets priorities
• Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s)
• Managing attrition and building retention strategies
• Preparation of annual business plans including operating budgets
• Negotiating solutions, resolving conflicts and anticipating/handling critical situations
• Providing regular performance feedback and giving frequent formal and informal coaching sessions
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Contact Details:-

Shiva Dosapati

dosapati_shiva@optum.com