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  • 8 - 10 Years
  • Posted : above 1 month

Job Description:

Skill Requirement

- Bachelors or masters degree - Life sciences/Medicine

- Coding certification from AAPC - CCS; CCS-P; CPC etc

- Minimum 8-10 years of medical coding and QA experience in professional coding and/or facility coding and Denial management

- Experience of working across multiple coding specialties, denial management and operations

- Strong knowledge of coding domains - E/M, ED, Radiology, Surgery, Pathology, IP DRG, HCC & Denial Management

- Strong knowledge of coding/Denial Management operations, People & Process management

- Should have handled a Team of 45+ coders

- Excellent relationship building and mentoring skills

- Excellent communication and presentation skills across all levels

- HIPAA compliant and compliant with all Industry policies and procedures

Roles & Responsibilities

- Review and monitor day-to-day Medical coding/denial management operations and Service Level Agreements

- Take ownership of organizations coding team certification goals by preparing and mentoring the coders for different certification programs

- Be a subject matter expert to guide team for accurate coding

Think Strategic

(a) Big Picture Perspective

- Understands the process vision & has the ability to translate the same to the team

- Demonstrates an understanding of the impact of teams performance on sub /process objectives

- Reviews own actions against the process objectives

- Identifies long term issues, problems or opportunities for the team

(b) Business Acumen

- Appreciates the inter-dependencies between teams/functions

- Understands impact of business metrics on profitability

- Suggests solutions based on inferences from the data

- Demonstrates expertise in functional knowledge

- Demonstrates functional expertise to coach/mentor peers/team members

Drive Results

(a) Planning & Organizing

- Cost optimization and maximum utilization of resources for productivity

- Comes out with new ideas for process improvements to enhance customer service

- Responsible for preparation of process budget and manpower

(b) Directing & Monitoring

- Manages day-to-day operations of the Unit, including attendance, attrition and outages, to minimize customer impact

(c) Accountability

- Manages Average Handling Time (AHT) as per SLAs

- Accountable for the production and quality targets of the Unit

- Managing the profitability of the process

(d) Problem Solving & Decision making

- Is able to identify problems and take decisions independently

- Provides solutions to individual and organizational problems

Partner with Customers

a) Relationship Building

- Coordinating with the client on process related issues and updates

b) Passion for excellence

- Manages daily performance to ensure that all Associates and Team Leads are meeting SLAs

- Meets/exceeds service and quality levels as assigned by Management/Client

- Uphold Our Client/Company values

Lead People

a) Managing Self

- Identify and participate in training / developmental programs

b) Inspiring others / managing teams

- Coaches and mentors Associates & Team Leads

- Optimum utilization of resource to meet productivity

- Interview candidates to ensure quality of Hire

- Conducting performance appraisals

- Identify key people and mentor leaders

- Conducting team reviews, submitting progress reports of the team to the Program Lead

Experience Required

- Minimum 8 years of medical coding and QA experience in professional coding and/or facility coding and Denial management Minimum 3 years of experience as Assistant Manager in running medical coding/denial management operations

- Candidate should be open to work in US Shift Timing

Profile Summary:

Employment Type : Full Time
Functional Area : ITES / BPO / KPO / Customer Service / Operations
Salary : Not Mentioned
Deadline : 15th Mar 2020

Key Skills:

Company Profile:

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