Sr. Manager / AGM Medical Coding (IPDRG)

Job Description

1. Education Bachelor's degree in Health Information Management, Healthcare Administration, or related field (or equivalent work experience). 2. Experience Minimum of ten (15) years in Health Information Management and/or Medical Coding and Auditing. Five (5) years supervisory or management experience. 3. Credentials/Certifications CSS CCS-P (AHIMA) or CPC (AAPC) mandatory. Additional industry relevant certifications preferred. 4. Required Skills Proven experience in Medical Coding and Auditing, with a minimum of 5+ years in a supervisory or managerial role. Strong understanding of ICD-10, CPT, HCPCS Level II, and other relevant coding systems. Familiarity with electronic health records (EHR) and coding software. Strong understanding of the U.S reimbursement process and IPPS and OPPS Excellent leadership, communication, and problem-solving skills. Attention to detail and a commitment to maintaining coding accuracy and compliance 5. Preferred Skills Medical Coding and Auditing, Clinical Documentation, People Management 6. Productivity Standards Experience in handling 250+ Team size I. Position Responsibilities 1. Looking for 15+ years of experienced candidates with relevant experience Role is Medical Coding and Auditing with a flair for technology. 2. Responsible for coordinating the work of the Medical Coding and Auditing staff, Supervising all functions of the Medical Coding and Auditing department. 3. Responsible for how the coding department operates each day and ensures that work assignments are completed on schedule by providing effective monitoring to both quantity and quality of workflow. 4. Responsible for project planning and all process documentation. It also involves being responsible for quality delivery and team performance. 5. Provides assistance in developing coding practice standards and policies and suggests the appropriate trainings to improve the performance of the team. 6. Managing client interaction and customer engagement, as well as coordinating with client and internal teams. 7. Must always strive to enhance his/her knowledge and also continually improve on established processes to be effective on the job. Identify & implement technology solutions that help in improving Coding efficiency. 8. Oversees resource utilization to ensure all clients are staffed appropriately, overtime is not overutilized, and that production resources not remain idle. 9. Identifies resource skill gaps to ensure that we are appropriately staffed with the correct discipline of coder (patient type, skill level, component etc.) 10. Strong knowledge of Health Information and Coding data such as audit results methodology and financial impact of medical coding errors. 11. Reviews internal and external audit results and ensures Plans of Action are produced and carried out when required. 12. Works closely with Coding, Data Quality and Production teams during client implementations to ensure a smooth transition for the client. 13. Ensures Client directives, sent directly from the client, via Client Services or from leadership, are carried out by Coding and Data Quality team accurately and timely. 14. All other tasks as requested.