SENIOR MANAGER/ MANAGER MEDICAL CODING (QUALITY) SURGERY SPECIALITY
As a Senior Manager for Medical Coding Quality in a Same-Day Surgery setting, you are required to oversee coding operations, ensuring accuracy and compliance, manage a team of auditors and implement strategies to improve coding quality and efficiency.
Key Responsibilities:
Same Day Surgery Specialty experience:
- Possess in-depth knowledge of surgery coding, including ICD-10-PCS and CPT codes relevant to same-day procedures.
- Be familiar with various surgical specialties and procedures commonly performed in a same-day surgery setting (SDS/ASC – One to six series).
- Ensure accurate and timely coding of same-day surgery cases.
Team Leadership & Management:
- Lead, motivate, and develop a team of medical coders, ensuring their performance and professional growth.
- Conduct performance evaluations, provide feedback, and address any issues or concerns.
- Plan and delegate work to ensure optimal workload distribution and job enrichment.
- Implement and maintain a robust training program for both new and existing staff.
Quality Assurance & Compliance:
- Conduct regular audits and quality checks on coded data to ensure accuracy and compliance with industry regulations (e.g., ICD-10, CPT, HIPAA).
- Identify and address coding errors and discrepancies, implementing corrective actions.
- Develop and implement strategies to minimize coding errors and denials.
- Stay up-to-date with the latest coding guidelines and regulations.
Operational Efficiency & Process Improvement:
- Analyze coding processes to identify areas for improvement and implement strategies to enhance efficiency and productivity.
- Develop and implement coding workflows that streamline operations and reduce turnaround times.
- Collaborate with other department to improve overall revenue cycle management.
Data Analysis & Reporting:
- Monitor key performance indicators (KPIs) related to coding accuracy, productivity, and compliance.
- Prepare and present regular reports on coding performance and quality to management.
- Identify trends and patterns in coding errors to inform training and process improvement efforts.
Client Relations :
- Act as a point of contact for clients or stakeholders regarding coding quality related issues.
- Participate in client calls and meetings as needed with stateside team.
- Ensure that client expectations are met regarding coding quality and compliance.
Skills & Qualifications:
- Strong leadership, management, and communication skills.
- Extensive knowledge of medical coding principles, regulations, and best practices.
- Proficiency in ICD-10-CM/PCS, CPT, and other relevant coding systems.
- Experience in managing a team
- Strong analytical and problem-solving skills.
- Ability to work effectively in a fast-paced and demanding environment.
- Experience with electronic health records (EHR) systems.
- Flexible to work in extended timings whenever required
TEAM LEAD – MEDICAL CODING (QUALITY) – SURGERY SPECIALITY
As a Team Lead for medical coding quality in a same-day surgery setting, you have to supervise auditors, ensuring accurate and compliant coding practices, conducting quality audits
Responsibilities:
Team Leadership:
- Supervise and mentor a team of medical coders, ensuring they meet productivity and quality standards.
- Conduct regular team meetings, performance evaluations, and provide constructive feedback.
- Manage workload distribution and ensure timely completion of coding tasks.
- Address performance issues and implement corrective actions as needed.
Quality Assurance:
- Conduct regular quality audits of coded data to identify errors and areas for improvement.
- Develop and implement quality assurance programs to maintain high coding accuracy and compliance.
- Analyze coding errors and trends to identify root causes and implement corrective actions.
- Stay updated on coding guidelines, regulations (HIPAA, ICD-10, CPT, HCPCS), and industry best practices.
Compliance:
- Ensure compliance with all relevant coding regulations, industry standards, and company policies.
- Stay informed of changes in coding guidelines and regulations and implement necessary updates.
Revenue Cycle Management:
- Collaborate with healthcare providers to resolve billing discrepancies and improve revenue cycle management.
- Identify and address potential denials and implement strategies to minimize them.
Communication and Collaboration:
- Serve as a point of contact for coding-related inquiries from team members, physicians, and other healthcare professionals.
- Collaborate with other departments to ensure smooth and efficient workflows.
Skills and Qualifications:
Strong knowledge of medical coding principles and guidelines (ICD-10, CPT, HCPCS)
.Experience in same-day surgery one to six series
is must
.Proficiency in electronic health record (EHR) systems
.Strong leadership, communication, and interpersonal skills
.Ability to analyze data and identify trends
.Excellent organizational and problem-solving skills
.Knowledge of revenue cycle management principles
.Experience in quality assurance and compliance
.Ability to work independently and as part of a team
.Strong computer skill
Any medical coding certification from AAPC/AHIMA is mandatory. Suitable candidates send your resume to srinivasan.rangarajan@medkpo.com
