Interested candidates can share their resume - Jitendra.pandey@cotiviti.com / 7350534498
Job Summary:
We are currently seeking Team Leader to support a growing client base and manage the day-today operational activities of the production team and to help stabilization of the process combining their clinical and/or coding expertise with payment accuracy. This includes ensuring that the team delivers as per set expectations while maintaining the required quality standards. The role involves day to day coordination with internal as well external teams
Principal Responsibilities and Essential Duties:
- Handle the day-to-day operations and effectively lead a team of production analysts on the assigned project
- Ensure team delivers 100% on projects within contracted turn-around-time and meets accuracy metric as per client SLA
- Ensure optimum utilization of the staff and manage shrinkage to meet daily deliverables
- Identifying the areas of improvement for training for a team/individual based on error trend analysis
- Effective planning in place to manage OJT period within the specified period
- Support the team by discussing complex cases, resolving queries, providing education and interfacing with both company and client leadership
- Steer internal education program to ensure team has required training to meet accuracy and turn-around-time metric
- Ensures proactive identification of any negative deviations in the process
- Contribute to PCI product by providing feedback to Management/Development Teams on changes to enhance editing and efficiency.
- Exhibit behavior consistent with Cotiviti Values
- Customer Driven
- Collaborative
- Accountable
- Open
Requirements:
- Any graduate or Physician with CPC certification
- Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred
- Possesses knowledge of healthcare claims payment policy and processing specifically, CMS, Medicaid regulations, AAOS, ICD-9, CPT & HCPCS, etc.
- Practical clinical experience working in a hospital/office or nursing home strongly preferred
- Has general knowledge of medical procedures, conditions, illnesses, and treatment practices
- Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency
- Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc
- Candidates should be ready to work in different shifts, including night shift.
