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Team Lead – Payor (Risk Adjustment coding/HCC) - Vijayawada

6 years

0 Lacs

vijayawāda

Posted:3 days ago| Platform: GlassDoor logo

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Skills Required

risk coding reports healthcare report transparency strategies audits communication management nutrition microbiology biotechnology genetics certification

Work Mode

On-site

Job Type

Full Time

Job Description

Job Title: Team Lead – Payor (Risk Adjustment coding/HCC)
Department: Production
Location: Vijayawada
Reports To: Manager – Payor
Employment Type: Full-time, Mon through Fri, with occasional evening or weekend availability as required for project deadlines.
Eligibility: Minimum of 6 years’ experience in risk adjustment coding and should have been a team lead on paper for 1 year.

No of vacancy: 1

Job Overview: We are seeking a highly motivated and experienced Team Lead – Payor (Risk Adjustment coding/HCC) to manage our risk adjustment coding team. The ideal candidate should be an AAPC/AHIMA certified seasoned operations leader who will be responsible for production and quality of a span of 30-40 coders. This role requires a deep understanding of HCC coding practices and US healthcare regulations.

He/she should lead by example.

What is expected:

  • Responsible for team’s production and quality.

  • Need to conduct weekly and monthly quality review meetings with coders.

  • Present monthly ROB on team’s performance.

  • Publish weekly performance report (production and quality) post review.

  • Should be able to deliver the base production target is achieved.

  • Monitor head count and control attrition.

  • Communicate quality standards and expectations to all stakeholders to ensure transparency and accountability.

  • Identify potential risks in the coding process impacting outgoing quality and develop strategies to mitigate them.

  • Monitor and track key performance indicators (KPIs) related to coding accuracy and compliance.

  • Monitor and make sure the audits, feedback mechanism and education process are going seamlessly and take corrective action as needed.

Additional Skills:

  • Excellent communication and interpersonal skills.

  • Positive attitude, disciplined, and punctual.

  • Ability to work independently and collaboratively in a fast-paced environment.

  • Strong organizational and time management skills.

  • Proficient in basic computer operations and a fast learner.

Educational Qualifications: Bachelor's or Master's in Life Sciences: BAMS, BHMS, BDS, BPT/MPT, B Pharm/M Pharm, B.Sc./M.Sc. (Nursing, Nutrition, Zoology, Biology, Biochemistry, Microbiology, Biotechnology, Genetics, Physician Assistant, etc.)

Immediate joiners preferred.

Certification is mandatory.

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