Operations Manager Medical Coding

10 - 15 years

12 - 20 Lacs

Posted:2 weeks ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Role & responsibilities

Team Leadership & Management: Supervise, mentor, and manage a team of medical coders, ensuring high-quality performance and productivity.

  • Coding Compliance & Accuracy: Monitor and maintain coding accuracy, compliance with regulatory standards, and adherence to coding guidelines such as ICD-10, CPT, HCPCS, and CMS regulations.
  • Quality Assurance: Review regular audits of coded records to ensure accuracy and compliance, providing feedback and training as necessary. • Process Optimization: Identify areas for improvement in coding workflows and implement process enhancements to improve efficiency. • Training & Development: Provide ongoing education and training to team members on coding updates, industry changes, and best practices.
  • Collaboration: Work closely with US Clients other stakeholders to resolve coding discrepancies and ensure seamless production.
  • Reporting & Analysis: Generate reports on coding productivity, accuracy rates, and trends, presenting findings to senior management. • Regulatory Compliance: Stay updated with changes in federal, state, and payer-specific coding regulations and implement necessary updates.
  • Issue Resolution: Address and resolve escalated coding issues and denials efficiently.
  • Serve as the primary point of contact for clients, ensuring professional and courteous communication.
  • Maintain strong relationships with clients by providing clear, accurate, and helpful information.

Preferred candidate profile

  • Education: Bachelors degree medical related field is preferred.
  • Certifications (Preferred): Must hold one or more relevant certifications such as CPC (Certified Professional Coder), CCS (Certified Coding Specialist), COC (Certified Outpatient Coder), or RHIT (Registered Health Information Technician), CPMA.
  • Experience: Minimum 10+ years of hands-on medical coding experience, with at least 2 years in a leadership or supervisory role. Experience with various coding systems (ICD-10, CPT, HCPCS, etc.) and knowledge of medical terminology, anatomy, and physiology. o Oncology experience is a must. SSPL - Unauthorized access, reproduction, or distribution of this document is prohibited.
  • Skills: o Excellent written and verbal communication. o Proficient in medical coding software and healthcare management systems (e.g., Epic, 3M, Cerner). High attention to detail and accuracy.

Work Environment

• Work from office.

Interested Candidates Plz Share your CV on

Email : vijay.jadhav@sumasoft.net

Contact: 8806000209

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