
AVP - Medical coding
3 weeks ago
Overview: Assistant Vice President coding is responsible Prepare and present reports on coding audit findings, compliance status, and performance metrics to senior management.
Ensuring accurate coding, compliance, and revenue optimization for surgical services within the organization and are responsible for leading a team of coding professionals and collaborating with other departments, such as Health Information Management, Finance, and Compliance, to ensure alignment of coding practices with organizational goals.
Qualifications: Bachelor's degree in clinical or healthcare information management or a related field. Relevant certifications (e.g. CCS, CPC, CPMA) are mandatory.
Strong knowledge of healthcare compliance regulations and reimbursement methodologies.
Extensive experience in medical coding, with a focus on surgery coding and strong knowledge of CPT, ICD-10-CM, HCPCS coding systems.
Experience: Minimum of 15 to 19 years of progressive experience in medical coding, coding auditing, and leadership roles, preferably in a healthcare setting and minimum of 5 years' experience in surgical coding or auditing.
Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEE
Skills and abilities: Surgery – Ortho, IVR, GI and multispecialty.
- Demonstrated leadership and management skills, including the ability to lead and motivate a coding audit team. Experience in specialties - Spinal procedures, Implant, GI, musculoskeletal, CABG and other cardiac procedures, IVR and Radiation oncology
- Strong analytical and problem-solving abilities to interpret coding audit data and make data-driven decisions.
- Excellent communication skills to interact with coding staff, healthcare providers, and senior management, and to present audit findings effectively.
- Familiarity with health information systems and coding software tools.
ADDITIONAL AND ESSENTIAL RESPONSIBILITIES:
- Regulatory Knowledge: Strong knowledge of ICD-10-CM/PCS, CPT, coding systems, as well as a deep understanding of Medicare and Medicaid reimbursement policies.
- Provide inputs and solutions to automatically recognize and extract data from medical documents for proper coding and to facilitate auditing.
- Stay updated on changes in coding guidelines, regulations, and reimbursement policies, ensuring the organization's adherence to these standards.
- Audit Oversight: Plan, coordinate, and oversee Surgical coding audits to evaluate the accuracy and completeness of coding practices, ensuring compliance with regulatory standards
- Data Analysis: Analyze coding audit results to identify trends, patterns, and areas for improvement, and make recommendations for corrective actions.
- Quality Improvement: Develop strategies to improve coding accuracy, documentation, and compliance within the organization.
- Technology Utilization: Stay current with coding software and technology tools to improve efficiency and accuracy in the coding process.
- Reporting: Generate reports on coding and billing performance, identifying trends, and presenting recommendations for improvement to senior management.
- Prompt response to all the emails and requirements.
- Manage the day-to-day operations to meet the monthly client deliverables with agreed SLA's
- Monitor & suggest the effective utilization of resources across the project and review action plan developed to improve.
- Leading mentoring and monitoring the performance of Senior Manager to ensure efficiency in process operations.
- Review the quality metrics and checking the efficacy of quality improvement plans and sharing suggestions
- Creating and sustaining a dynamic environment that fosters development opportunities and motivates high performance amongst team members and organizing quality circle activities
- Understanding the customer pain points and provide innovative solutions to improve customer service level
- Define KRA's and assess the team performance periodically
- Identify the hiring requirement basis the volume forecast and coordinate with senior leadership and hiring team.
- Review the managers progress on operational metrics and giving the real time feedback to them
- Making sure to review the team is meeting the revenue projections on monthly basis
- Implementation of automation opportunities identified by team by coordinating with respective stake holders.
- Reviewing the daily/monthly operational reports and addressing any issues
- Ensuring Skip level meeting with immediate Reportees
- Responsible for creating SOW for new RFP and review the SOP on steady state projects
- Driving the employee engagement program for team.
- Motivating the next level layers for enrolling them in leadership program to improve their leadership skills
- Sharing inputs with senior leadership team on cost optimization
- Excellent project management skills, multi-tasking, training skills.
- Develop and lead a high-performing coding and corporate quality team aligned with organizational goals.
- Continuously ensure quality standards are met across all programs.
- Achieve recruitment objectives and ensure the team is adequately staffed.
- Support and create dynamic training schedules to accelerate the onboarding and ramp-up of new coding resources.
- Ensure full adherence to utilization targets (100%) in terms of both quantity and quality.
- Drive ongoing improvements and optimization in Coding Operations.
- Provide solutions for new client and program onboarding.
- Track and monitor key performance metrics across all stages of the process.
- Regularly report on progress, updates, and key metrics.
- Identify and analyze exceptions or anomalies and provide detailed reports.
- Analyze metrics and insights, offering comprehensive narratives and recommendations.
- Implement appropriate corrective actions and preventive measures.
- Maintain clear and effective communication throughout.
Please share updated cv to kavita.aparanji@qmail.quesscorp.com
-
AVP - Medical coding
4 weeks ago
Chennai, Tamil Nadu, India Quess Corp Limited Full timeOverview: Assistant Vice President coding is responsible Prepare and present reports on coding audit findings, compliance status, and performance metrics to senior management. Ensuring accurate coding, compliance, and revenue optimization for surgical services within the organization and are responsible for leading a team of coding professionals and...
-
Medical Coding
1 week ago
Chennai, Tamil Nadu, India Buddi AI Full time ₹ 10,000 - ₹ 3,00,000 per yearWe are seeking skilled and detail-oriented medical coders to join our team with specialization in Emergency Department (ED) professional and facility coding, Urgent Care (UC), and Radiology. The coder will be responsible for reviewing medical documentation, assigning appropriate ICD-10-CM, CPT, and HCPCS codes, and ensuring accurate, compliant coding for...
-
Medical Coding
15 hours ago
Chennai, Tamil Nadu, India Nestem Technologies Full time ₹ 1,52,400 - ₹ 1,75,200 per yearMedical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 10-CM, CPT & HCPCS. As per HIPAA rules healthcare providers need efficient Medical Coders. Self Supportive Training ll be provided for Fresher Required Candidate profileUG / PG in Life Science, Medical, Paramedical Dental, Pharmacy, Physiotherapy,...
-
Medical Coding Specialist
2 weeks ago
Chennai, Tamil Nadu, India beBeeCoder Full time US$ 60,000 - US$ 80,000Medical Coding SpecialistWe are seeking an experienced Medical Coding Specialist to join our team.Main Responsibilities:Adequately assign and sequence medical codes for diagnoses, procedures, and services.Analyze and review medical records to ensure accurate coding.Maintain a high level of knowledge with changing coding regulations and guidelines.Necessary...
-
Medical Coding Trainers
1 week ago
Chennai, Tamil Nadu, India beBeeMedicalCoding Full time ₹ 2,00,000 - ₹ 6,00,000Job Title: Medical Coding TrainersWe are seeking skilled professionals to join our team as Medical Coding Trainers. In this role, you will be responsible for conducting training sessions on various medical coding topics, including EnM, Process Training, and Surgery Coding.Key Responsibilities:Conduct comprehensive training sessions on EnM, Process Training,...
-
Medical Coding Specialist
2 weeks ago
Chennai, Tamil Nadu, India beBeeCoding Full time ₹ 2,40,000 - ₹ 3,60,000Medical Coding Specialist: Risk Adjustment and Audit SupportWe are seeking a highly skilled Medical Coding Specialist to join our team in the evolution of medical coding. This role will play a critical part in supporting better patient care and more efficient healthcare systems through precise coding.Main Responsibilities:Reviewing medical records and...
-
Medical Coding Specialist
2 weeks ago
Chennai, Tamil Nadu, India beBeeCoding Full time ₹ 6,00,000 - ₹ 12,00,000Medical Coding SpecialistWe are seeking a skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will be responsible for accurately coding patient data for healthcare claims and insurance purposes.
-
Medical Coding Specialist
2 weeks ago
Chennai, Tamil Nadu, India beBeeCoding Full time ₹ 3,00,000 - ₹ 5,00,000As a medical coder, you will play a vital role in converting medical data into standardized codes for easy reference and analysis. This is an excellent opportunity to develop your skills and knowledge in medical coding while contributing to the success of our team.Key Responsibilities:Assignment of codes to medical procedures and diagnoses according to...
-
Medical Coding Specialist
1 week ago
Chennai, Tamil Nadu, India beBeeCoding Full time ₹ 9,00,000 - ₹ 12,00,000Job Title:Senior Medical CoderAbout the Role:We are seeking a highly skilled Senior Medical Coder to join our team. In this role, you will be responsible for reviewing and coding medical records with a focus on inpatient and outpatient services.Key Responsibilities:Review and code medical records for accuracy and completenessDevelop and implement coding...
-
Medical Coding fresher
3 weeks ago
Chennai, Tamil Nadu, India Achievers Spot Full timeCompany DescriptionAchievers Spot is a leading provider of Medical Coding training and placement services in Chennai. We offer projector-based intensive classroom training with certification and placement for all Medical, Paramedical, and Life science graduates and postgraduates. Our dedicated trainers and consultants have hands-on experience in the...