Name: Jobpe
Address: T-Hub, Plot No 1/C, Sy No 83/1, Raidurgam panmaktha, Knowledge City Rd, Hyderabad, Telangana, 500081, IN
Telephone: +91-83339-09630
Price range: Free

Associate Vice President Operations - Medical Coding at IKS Health IKS Health

12.0 - 16.0 years

0 Lacs

hyderabad, telangana

On-site

Position Details Designation: Associate Vice President Reporting To: Vice President Department: Clinical Support Solutions - Coding Location: Hyderabad IKS Overview IKS Health is a leading Provider Enablement Platform that empowers healthcare providers to deliver better, safer, and more efficient care through a strategic blend of technology and expertise. Our solutions support provider groups in creating a physician-led, patient-centric care delivery model, allowing providers to be co-navigators of the patient's care journey. We aim to restore joy and viability to the practice of medicine by equipping providers with the necessary tools and resources to focus on what truly matterspatient care. As an integrated Provider Enablement Platform, IKS Health is the go-to resource for providers and organizations looking to scale effectively, improve quality, and achieve cost savings through innovative technology and solutions. Our care delivery processes and business solutions are driven by four interrelated Feature Clusters: 1. Revenue Optimization Services: Comprehensive financial solutions maximizing revenue and minimizing collection costs. Key offerings include Revenue Cycle Management (RCM), Denial Prediction Engine, and Real-time Adjudication. 2. Clinical Support Solutions: A suite of services designed to improve clinical outcomes and patient satisfaction while lowering medical costs. Services include Synchronous & Asynchronous Scribes, IKS AssuRx, and Coding Solutions. 3. Value-Based Care: Solutions focused on achieving better outcomes and greater value, including Risk & Quality Optimization and Care Coordination. 4. Digital Health Solutions: Platforms that leverage technology for data-driven value across the care continuum, including IT asset management and bespoke solutions. IKS Health currently impacts over 35,000 physicians in leading U.S. health systems, with plans to expand further in the coming years. Profile Description The Associate Vice President of Coding will be responsible for ensuring that the operations of IKS Coding meet or exceed client requirements and operate efficiently. This role will lead the coding Line of Business, focusing on scalability and industry best practices. Key Responsibilities Operations Management: - Ensure operations deliver as per SLAs for all aligned accounts. - Manage end-to-end transitions and migrations of new accounts. - Collaborate with clients and internal teams for efficient operations execution. - Drive process improvements to bridge identified gaps. - Maintain budgeted headcount and manage invoicing accuracy. - Conduct data analysis and prepare dashboards for client calls. - Collaborate with sales to design new offerings and drive revenue. People Management: - Provide direction and support to the coding team. - Foster a meritocratic work environment and boost employee morale. - Identify training needs and ensure comprehensive employee development. - Oversee performance management, especially for bottom quartile employees. - Manage hiring decisions and attrition mitigation strategies. Client Engagement: - Prepare reports and dashboards for clients and senior management. - Partner in the implementation and transition of new accounts. - Maintain high customer satisfaction levels. Financial Accountability: - Oversee overall P&L for the coding vertical, including revenue forecasts and budgeting. Functional Competencies - Strong expertise in ICD-10 and CPT coding; familiarity with specialties preferred. - In-depth understanding of coding guidelines and RCM cycle in U.S. healthcare. - Proven ability to lead and mentor large delivery teams. - Strong client management and process improvement skills. - Knowledge of handling P&Ls and budgets at the account level. Education & Experience - Bachelor's degree in any field; AHIMA/AAPC certification required. - Preferred qualifications include BPT, MPT, nursing degrees, or relevant health sciences. - Minimum 12 years of experience in core coding operations, including coding audits and client management. - Experience managing P&L at the business or account level is essential. Join us at IKS Health and play a pivotal role in transforming healthcare delivery!,

Posted 3 weeks ago

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Assistant Operations Manager R1 RCM

3 - 6 years

5 - 8 Lacs

Hyderabad

Work from Office

Reports to (level of category): Manager - Operations Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cashposting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications:Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM)Good communication Skills (both written & verbal) Skill Set:Candidate should be good in Denial ManagementCandidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on DenialsAbility to interact positively with team members, peer group and seniors.Subject matter expert in AR follow upDemonstrated ability to exceed performance targetsAbility to effectively prioritize individual and team responsibilitiesCommunicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Posted 2 months ago

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