Coding Manager

Job Description

The coding manager is responsible for managing day-to-day operations, which includes, team management, client management (client communication, meeting SLA's), meeting and exceeding productivity and quality expectations for the account. Liaison with internal functions to ensure seamless work-flow.

Key Responsibilities:

Responsible for the day to day planning as well as work allocation for the entire team

Ensuring regular as well as on time floor and knowledge support for all the team members

Develop / maintain monthly coding production and accuracy reports to track and optimize internal productivity & quality improvement activities

Support the Portfolio Leader(s) in creating data for client calls eg: CDI - provider feedback / education efforts

Support quality/training team in creating SOPs

Ensure all coder/specialist performance data is maintained and shared as and when required

Accountable for client delivery SLAs including meeting turnaround time (TAT), daily/weekly/monthly volume deliverables and Quality

Partner with the recruitment team in the hiring efforts of the IKS Coding department

Accountable for overall performance of the team as well as people metrics such as attrition (retention), absenteeism, schedule adherence, TOS

Ensuring upskilling of team members through constant coaching and feedback, execution of individual development plans and completion of performance appraisals on time

Ensuring high engagement levels in the team through various ESAT initiatives such as huddles, team meetings and EMPOWER connects

Train the team on the latest updates in regards to coding and documentation. Work with training and quality team members to make sure there is ongoing training for the team based on feedback from quality

Train the coders on various client specifications

Responsible for understanding people's concerns and coordinating with required stakeholders for solution and escalate/highlight for any support required from PL

Define career paths and development goals for every individual in the team

Ensuring a Learning culture through constant training needs identification, training program coverage at all levels as per development plans for his/her account/department designed in the Career Architecture

Ensuring that all programs planned for Self Development are completed

Identify areas for provider education and prepare notes

Responsible for all client reports including report cards, production report and quality report

Responsible for all client workflows, reconciliation and closure

Responsible for bringing any clarifications to client and get it resolved and guide the team based on the response

Lead scheduled client calls on agenda as well document MOM

Assist PL on MBR, QBRs for performance presentations and agenda items, follow up action items and closure

Responsible for addressing all client concerns, issues at 1st level along with closing the loop to client

Responsible for responding to all client emails in a timely manner (ideally within 24 hrs)

Custodian of process SOP and own the update management and sign off from client

Accountable for delivering service as per client SLA including meeting TAT, volumes and quality

Responsible for driving the topliner of P&L - Volumes for transactional model and resources and productivity on FTE model

Take initiatives on any revenue uplift by processing additional volumes without increasing resources/cost
Primarily assist on driving all efficiency measures at team level along with PL for cost efficiency

Assist PL on keeping the right mix of resources from cost perspective

Qualifications:

BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a must

AHIMA/AAPC certification is a must

MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantage

Role Prerequisites:

Minimum of 5 years of experience in the coding domain is a must

Currently working for a min of year at least as coding specialist or coding specialist auditor is a must

Functional Competencies:

Should be conversant with core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines)

Good Comprehension Skills

Detail Orientation

Good Presentation Skills

Good People Management Skills

Coaching and Feedback Skills

Good Knowledge of Microsoft Excel / G-suite is a must

Behavioral Competencies:

Accountability

Customer Service Orientation

Developing Others

Team Work

Analytical Skills

Communication

---