Job Title: General Manager Delivery Service Line: Medical coding Speciality : HCC coding Job Summary: The DGM of Medical Coding is responsible for overseeing the medical coding operations, ensuring compliance with industry regulations, maintaining high accuracy and productivity standards, and managing a team of coders. The DGM will play a key role in driving efficiency, quality, and continuous improvement in the medical coding department, while collaborating with other departments to achieve organizational goals. Key Responsibilities: Team Leadership & Management : Lead and manage the medical coding team, ensuring high performance, engagement, and professional growth. Conduct regular training sessions to ensure staff is up to date with the latest coding practices and industry standards. Provide coaching and feedback to improve productivity and accuracy. Operational Oversight : Oversee daily medical coding operations and ensure timely and accurate coding of healthcare services. Monitor workflow to ensure departmental goals are met, including productivity targets and quality assurance standards. Ensure compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other regulatory requirements. Quality Control & Compliance : Review coding work for accuracy, completeness, and adherence to current coding guidelines (ICD-10, CPT, HCPCS). Implement corrective actions and develop strategies to improve coding accuracy and minimize denials. Conduct audits and internal reviews to identify issues and implement solutions. Collaboration & Reporting : Collaborate with clinical, billing, and other administrative teams to resolve coding-related queries. Analyze coding trends and provide reports to senior management for decision-making. Coordinate with insurance companies and healthcare providers to resolve coding discrepancies. Process Improvement : Identify opportunities for process improvement within the coding department to enhance efficiency and reduce errors. Develop and implement best practices, standard operating procedures (SOPs), and training materials for the coding team. Technology Integration : Stay up-to-date with coding software, electronic health record (EHR) systems, and new industry trends. Lead the integration of new tools and technologies to improve coding processes. Key Requirements: Education : Bachelors degree or a Master’s degree in any field. Certification in Medical Coding (e.g., CPC, CCS, CCS-P) is required. Experience : At least 15 to 18 years of experience in medical coding, with a minimum of 8 to 10 years in a managerial role Experience in managing large coding teams and driving operational efficiency. Familiarity with ICD-10, CPT, HCPCS coding systems and compliance regulations. Skills : Strong leadership, communication, and interpersonal skills. In-depth knowledge of medical coding practices, healthcare reimbursement, and regulatory requirements. Ability to manage and analyze large sets of data and make data-driven decisions. Proficient in using coding software, EHR systems, and MS Office Suite (Excel, Word, PowerPoint). Personal Attributes : Attention to detail with a focus on accuracy and compliance. Ability to work under pressure and manage multiple priorities. Strong problem-solving and decision-making skills.
