Lead AVP Medical Coding Professional

2 days ago

Anand, Gujarat, India beBeeCoding Full time ₹ 1,47,24,000 - ₹ 1,91,62,000

Job Title: Senior Medical Coding Director

Job Summary:

We are seeking a highly skilled and experienced medical coding professional to lead our team. The ideal candidate will have over 17+ years of experience in medical coding, with a proven track record of managing large teams of coders.

Key Responsibilities:

  • Oversee the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
  • Develops long-range and short-term goals, objectives, plans, and programs and ensures they are implemented.
  • Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit.
  • Designs and implements systems and methods to improve data accessibility. Identifies, assesses, and resolves problems. Prepares administrative reports.
  • Oversees and monitors the coding compliance program. Develops and coordinates educational and training programs regarding elements of the coding compliance program such as appropriate documentation and accurate coding to all appropriate staff.
  • Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes.
  • Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy.
  • Reports non-compliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits.
  • Conducts trend analyses to identify patterns and variations in coding practices.
  • Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan to prevent similar denials and rejections from recurring.

Requirements:

  • 17+ years of experience in Multispecialty Coding and substantial team management experience.
  • Excellent communication skills, both verbal and written.
  • Strong managerial, leadership, analytical, interpersonal skills and Outstanding organizational skills.
  • Hands on Experience in generating reports using MS Office - Excel, word and MS power point.

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