Medical coding manager

This role is for one of the Weekday's clients

Salary range: Rs 1200000 - Rs 3000000 (ie INR 12-30 LPA)

Medical Coding Manager

Requirements

Key Responsibilities

• Lead and manage end-to-end medical coding operations, ensuring accuracy, productivity, and compliance with established coding standards and guidelines.
• Oversee coding across multiple specialties using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems.
• Ensure adherence to payer-specific rules, CMS guidelines, NCCI edits, and local coverage determinations (LCDs).
• Conduct regular coding audits and quality reviews to ensure high accuracy rates and identify training needs.
• Analyze audit findings, denial trends, and productivity metrics to drive continuous process improvement.
• Develop, implement, and maintain coding policies, SOPs, and best practices in line with regulatory changes.
• Stay current with evolving coding regulations, payer updates, and industry best practices; proactively implement changes.
• Collaborate closely with CDI, billing, compliance, revenue cycle, and clinical teams to resolve documentation and coding issues.
• Lead, mentor, and develop a team of coding professionals, including hiring, training, performance evaluation, and career development.
• Manage workload distribution, capacity planning, and productivity targets to meet operational SLAs.
• Act as a subject matter expert for complex coding cases, appeals, and payer audits.
• Support internal and external audits, including RAC, MAC, and payer reviews, and ensure timely responses.
  

Required Skills & Qualifications

• 8-20 years of experience in medical coding, with significant exposure to coding operations management.
• Strong hands-on expertise in Medical Coding across inpatient, outpatient, professional, and ancillary services.
• In-depth knowledge of ICD-10, CPT, HCPCS, DRG/APC methodologies, and reimbursement workflows.
• Proven experience managing large coding teams and driving quality and productivity outcomes.
• Strong understanding of healthcare compliance, HIPAA regulations, and audit readiness.
• Experience with EHR systems, encoder tools, and coding audit platforms.
• Excellent analytical, problem-solving, and decision-making abilities.
• Strong communication and stakeholder management skills.
  

Preferred Certifications

• CPC, CCS, CCS-P, CIC, or equivalent coding certifications (mandatory or highly preferred).
• AHIMA or AAPC membership preferred