Suma Soft

3 weeks ago

Pune, Maharashtra, India Suma Soft Pvt Ltd Full time

Job Title: Medical Coding Manager

Location: Erandwane, Kothrud Pune - 411004

Job Type: Full-time, Day Shift

Salary: As per experience and best in Summary:

We are seeking a highly skilled and certified Medical Coding Team Leader to oversee and manage a team of medical coders. The ideal candidate will have extensive experience in medical coding, strong leadership skills, and a deep understanding of healthcare regulations and compliance standards. This role requires ensuring accuracy, efficiency, and adherence to industry best practices in medical coding while leading a team toward operational Responsibilities:

- Team Leadership & Management: Supervise, mentor, and manage a team of medical coders, ensuring high-quality performance and productivity.

- Coding Compliance & Accuracy: Monitor and maintain coding accuracy, compliance with regulatory standards, and adherence to coding guidelines such as ICD-10, CPT, HCPCS, and CMS regulations.

- Quality Assurance: Review regular audits of coded records to ensure accuracy and compliance, providing feedback and training as necessary.

- Process Optimization: Identify areas for improvement in coding workflows and implement process enhancements to improve efficiency.

- Training & Development: Provide ongoing education and training to team members on coding updates, industry changes, and best practices.

- Collaboration: Work closely with US Clients other stakeholders to resolve coding discrepancies and ensure seamless production.

- Reporting & Analysis: Generate reports on coding productivity, accuracy rates, and trends, presenting findings to senior management.

- Regulatory Compliance: Stay updated with changes in federal, state, and payer-specific coding regulations and implement necessary updates.

- Issue Resolution: Address and resolve escalated coding issues and denials efficiently.

- Serve as the primary point of contact for clients, ensuring professional and courteous communication.

- Maintain strong relationships with clients by providing clear, accurate, and helpful Skills and Bachelors degree medical related field is preferred.

Certifications (Preferred):

- Must hold one or more relevant certifications such as CPC (Certified Professional Coder), CCS (Certified Coding Specialist), COC (Certified Outpatient Coder), or RHIT (Registered Health Information Technician), Minimum 8+ years of hands-on medical coding experience, with at least 2 years in a leadership or supervisory role.

- Experience with various coding systems (ICD-10, CPT, HCPCS, etc.) and knowledge of medical terminology, anatomy, and physiology.

- Oncology experience is a Excellent written and verbal communication.

- Proficient in medical coding software and healthcare management systems (e.g., Epic, 3M, Cerner).

- High attention to detail and accuracy.

Other Skills:

- Strong organizational and multitasking Environment:

- Work from and Benefits:

- Competitive salary and benefits, including health insurance and paid time off.


- This position is an excellent opportunity for individuals looking to advance their careers in Medical

(ref:iimjobs.com)

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