Evaluation & Management Coding Team Lead

• Lead and manage a team of E&N/E&M coders to achieve daily, weekly, and monthly targets.
• Allocate work based on volume, complexity, and coder competency levels.
• Monitor team productivity and quality metrics, and ensure compliance with client SLAs.
• Conduct daily huddles, share updates, and communicate operational priorities.
• Ensure timely submission of reports, dashboards, and work queues.

• Review coded charts for accuracy and ensure adherence to CPT, ICD-10-CM, HCPCS, and payer-specific guidelines.
• Collaborate with the Quality Auditor to identify trends, errors, and root causes.
• Drive corrective action plans to reduce errors and improve coding accuracy.
• Ensure all coders follow compliance guidelines and company policies.

• Identify skill gaps and provide coaching, refresher training, and guidance.
• Assist new coders with onboarding, process training, and evaluation.
• Maintain team knowledge on regulatory changes, payer updates, and code set revisions.

• Serve as a point of contact for internal teams and client counterparts.
• Participate in client calls, audits, feedback sessions, and performance reviews.
• Provide timely updates on production, quality issues, and escalations.

• Drive employee engagement, recognition, and retention initiatives within the team.
• Conduct performance appraisals, one-on-one discussions, and mentoring sessions.
• Manage shift schedules, attendance, leave approvals, and backup planning.

• Identify opportunities to optimise workflows, automate reporting, and eliminate inefficiencies.
• Lead initiatives to improve coding quality, reduce denials, and enhance productivity.
• Support operational excellence initiatives and contribute to the standardisation of processes.
  

• Certified CPC / COC / CIC preferred.
• Strong knowledge of CPT, ICD-10-CM, HCPCS, NCCI edits, MUE rules, and payer-specific coding guidelines.
• Expertise in E&M coding (office, inpatient, observation, ED E&M, consults).
• Familiarity with global billing rules, telehealth coding, and documentation standards.

• Strong leadership and people management abilities.
• Excellent communication and stakeholder management skills.
• Analytical thinking and problem-solving skills.
• Ability to work under pressure and meet tight deadlines.
• Proficiency in Excel, reporting tools, and workflow management systems.
  

• Bachelor s Degree or equivalent.
• CPC or equivalent coding certification mandatory.
• Total Experience: 7-10 years
• Relevant experience of

  4-6 years of RCM coding experience

  , with at least

  1-2 years in a lead or supervisory role.

• Prior experience in E&M / E&N coding processes is required.
  

• Coding accuracy (%)
• Productivity (charts/hour)
• SLA adherence
• Denial reduction contribution
• Team engagement & retention
• Training effectiveness
• Client satisfaction
  

Our Culture & Values

At Calpion, were not just a company were a dynamic culture fueled by six core values: Agile, Collaborative, Innovative, Fun, Inclusive, and Passionate. These values drive our every move:

• Agile:

  We thrive on change, adapting swiftly to new challenges.

• Collaborative:

  Together, we achieve greatness through teamwork and diverse perspectives.

• Innovative:

  We push boundaries, constantly exploring new ideas and solutions.

• Fun:

  Laughter and camaraderie make our workplace a joyous one.

• Inclusive:

  Diversity is our strength, ensuring every voice is heard and valued.

• Passionate:

  We approach every task with dedication and enthusiasm.

Join us at Calpion and be part of a culture thats not just about work but innovation, growth, and making an impact.