Vice President of Operations - Medical Coding , Mumbai & Hyderabad

Job Title:

1. Operational Excellence & Delivery Performance
2. Financial Stewardship & Profitability
3. Client Partnership & Growth Enablement
4. Digital Transformation & Innovation
5. People Leadership & Organizational Capability
6. Governance, Compliance & Risk Management

Key Responsibilities:

1. Strategic & Operational Leadership

• Lead end-to-end medical coding operations (IP/OP, ED, ProFee, Risk Adjustment, CDI, and Auditing).
• Oversee multi-site operations across India
• Ensure delivery excellence, SLA compliance, and client satisfaction across all engagements.
• Standardize processes, quality frameworks, and performance benchmarks across centers.
• Build scalable operating models to support organic and inorganic growth.

2. Financial & Business Management

• Manager P&L accountability for Coding operations.
• Develop and manage annual operating plans, revenue forecasts, and cost optimization initiatives.
• Drive sustainable growth and profitability through margin expansion and operational efficiency.
• Evaluate pricing strategies and support business development for new client opportunities.

3. Quality, Compliance & Governance

• Ensure 100% adherence to ICD-10/11, CPT, HCPCS, DRG, and provider-specific coding guidelines.
• Establish and oversee internal audit programs, error tracking, and corrective action mechanisms.
• Maintain compliance with HIPAA, SOC 2, OIG, and client-specific regulatory requirements.
• Partner with compliance and QA teams to ensure audit readiness and zero-defect delivery.
• Champion integrity and accuracy as the core of the coding culture.

4. Client Relationship & Strategic Engagement

• Act as the executive sponsor for key clients across provider and payer segments.
• Conduct regular Quarterly Business Reviews (QBRs) and executive steering committee meetings.
• Identify new business opportunities, value-add initiatives, and digital transformation projects for existing clients.
• Drive client retention, referenceability, and satisfaction (CSAT/NPS).

5. Technology, Automation & Transformation

• Lead the adoption of AI-assisted coding, NLP, computer-assisted coding (CAC), and GenAI tools for productivity enhancement.
• Partner with the Technology, Product, and Data Science teams to build intelligent workflows, predictive analytics, and automated audit models.
• Evaluate emerging tools and EHR integration strategies (Epic, Cerner, Meditech, etc.) to improve turnaround times and coding accuracy.
• Drive continuous improvement and Six Sigma programs to eliminate inefficiencies.

6. People Leadership & Organizational Development

• Lead, mentor, and inspire a large, diverse workforce of coders, auditors, HIM professionals, and operations leaders.
• Build structured career progression, certification, and leadership development programs.
• Ensure ongoing competency through continuous education, refresher training, and skill mapping.
• Drive a performance-driven culture emphasizing excellence, collaboration, and accountability.
• Oversee workforce planning, hiring, retention, and succession management in partnership with HR.

7. Cross-Functional & Strategic Collaboration

• Collaborate with Revenue Cycle, Coding Technology, Compliance, HR, and Finance teams for aligned strategy execution.
• Partner with Sales and Solutioning teams to support RFPs, due diligence, and transition planning.

Experience & Qualifications

• Education: Bachelor's or Master's degree in any discipline; medical coding certification (CPC, CCS, CIC, COC) is mandatory.
• Experience: 18-25 years in medical coding with at least 8-10 years in senior leadership roles.
• Proven experience managing large-scale multi-site coding operations (1,000+ FTEs) across provider or payer verticals.
• Deep expertise in coding quality, compliance, CAC technologies, and audit frameworks.
• Demonstrated success in P&L ownership, client management, and transformation leadership.
• Strong understanding of US healthcare revenue cycle processes, HIM standards, and regulatory trends.
• Excellent leadership, communication, and strategic execution capabilities.