Operations Manager

4 days ago

pune, India Cotiviti India Full time

POSITION DESCRIPTION

JOB TITLE: Operations Manager - In Patient Coing - CIC/CCS

REPORTS TO: AVP

PRINCIPLE PURPOSE OF JOB

We are currently seeking an Ops Manager to support a growing client base and manage the dayto-

day operational activities of the production team and to help stabilization of the process

combining their clinical and/or coding expertise with payment accuracy. This includes ensuring

that the team delivers as per set expectations while maintaining the required quality standards.

The role involves day to day coordination with internal as well external teams


JOB RESPONSIBILITIES

  • Supervise the day-to-day operations and effectively manage a team of production analysts/Team Leads on the assigned project
  • Ensure team delivers 100% on projects within contracted turn-around-time and meets accuracy metric as per client SLA
  • Ensure optimum utilization of the staff and manage shrinkage to meet daily deliverables
  • Identifying the areas of improvement for training for a team/individual based on error trend analysis
  • Effective planning in place to manage OJT period within the specified period
  • Support the team by discussing complex cases, resolving queries, providing education and interfacing with both company and client leadership
  • Steer internal education program to ensure team has required training to meet accuracyand turn-around-time metric
  • Ensures proactive identification of any negative deviations in the process
  • Contribute to PCI product by providing feedback to Management/Development Teams on changes to enhance editing and efficiency
  • Willing to work in a 24*7 work environment post training
  • Training would be conducted during US business hours and may last up to 6 months
  • Required to be available in the office for training and first few weeks of go-live, depending on the future pandemic conditions as well as company’s ability to resume operations from an office setting



RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS

  • Graduate with CIC/CCS certification or in-patient DRG experience with
  • CIC/CCS certification
  • Minimum of two years’ experience working as Asst. Mgr./Mgr. or equivalent
  • Experience in US Healthcare, medical coding, medical billing, RCM health plan
  • operations strongly preferred
  • Possesses knowledge of healthcare claims payment policy and processing –
  • specifically CMS, Medicaid regulations, AAOS, ICD-10-CM, ICD-10-PCS, CPT &
  • HCPCS, etc.
  • Practical clinical experience working in a hospital/office or nursing home preferred
  • Has general knowledge of medical procedures, conditions, illnesses, and
  • treatment practices
  • Possesses excellent written and verbal communication skills. Ability to think logically
  • and process sequentially with a high level of detailed accuracy and efficiency
  • Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint,
  • Outlook, etc.

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