Operations Manager - Medical Coding Cotiviti

9.0 - 14.0 years

9 - 14 Lacs

Pune

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JOB TITLE: Manager DEPARTMENT: Operations REPORT TO: AVP, Operations PRINCIPAL PURPOSE OF THE JOB We are currently seeking a manager to manage Medical Coding programs. His/her Primary responsibility will be to support and monitor day-to-day work processes and meet production and Service Level Agreements. Assessing and forecasting staffing requirements based on client communication and incoming volume. Should coach team members in achieving team deliverables and escalate appropriately and as needed. Monitor activities of team members; provide feedback and counsel team members regarding performance, timekeeping, and personnel issues. JOB RESPONSIBILITIES Project Transition and Stability People Readiness: Ensure timely completion of resource planning and hiring Creating training manual and SOP Process Changes and Enhancements SLA's delivery Business Health and SLAs Baseline performance thresholds- Establish and periodically revisit performance thresholds Ensure all SLAs are met Ensure all budgets are met Process Improvement & Team Management Process Changes and Enhancements Reduce operational costs, Healthier Margins Identify single points of failure. Create back-up Development of second and third-line leader Process enhancements (measurable) Data Analytics Talent Engagement & Development Talent Acquisition Performance Management 3. Talent Engagement & Development RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS Graduation in Life Science preferred In-depth knowledge of human anatomy and medical terminologies Certified Professional Coder (CPC), CIC, CCS from the American Academy of Professional Coders (AAPC), with knowledge of HCPCS, ICD, CPT, and DRG preferred Minimum 8-10 years of experience in E&M coding and minimum 3-5 years of experience as an Asst Manager or Manager Qualified candidates can share resume - Jitendra.pandey@cotiviti.com

Posted 1 week ago

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Immediate hiring For Denials coder- Multi Specialty Sutherland

1.0 - 6.0 years

3 - 7 Lacs

Hyderabad, Chennai

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Roles and Responsibilities: - Denial Radiology and IVR: Life science graduate is mandatory Coder should have 2+ years of experience in Rad denial experience and IVR experience will be added advantage. Should have knowledge in all the modalities and denial workflow In depth knowledge about the payer policy and denial concepts NCCI edits, MUE, medical necessity. Experience in creating appeals letters, claim corrections, and payer interactions Denial Coder Multispecialty: Life science graduate is mandatory Coder should have 2+ years of experience in denial radiology, E/M IP and OP, surgery, IVR etc. Should have knowledge in all the modalities and denial workflow In depth knowledge about the payer policy and denial concepts NCCI edits, MUE, medical necessity. Experience in creating appeals letters, claim corrections, and payer interactions Desired Candidate Profile: - Should be a Science Graduate. Minimum of 1+ years of experience in Denials. Basic knowledge of medical terminology and anatomy. Comfortable to work from office. Effective verbal and written communication skills (Should have capability to reply properly to client and stakeholders. Successful completion of CPC or CCS certification must be active during joining and verified. Able to work independently and willing to adapt and change as per business/ process requirements. Timings & Transport 1. Shift timings 8.30am 5.30Pm 2. FIVE DAYS WORKING (MONDAY - FRIDAY) 3. Need to be Comfortable with WFO-Work from office. Contact Details: HR - Aravind - 7286960006

Posted 4 weeks ago

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