Executive Director of Coding Excellence

6 days ago

Chennai, Tamil Nadu, India beBeeCoding Full time ₹ 1,50,00,000 - ₹ 2,00,00,000
Senior Leadership Role

Job Summary:

The Senior Vice President will oversee coding audit findings, compliance status, and performance metrics for senior management.

Key Responsibilities:

  • Lead a team of coders and collaborate with other departments to ensure alignment of coding practices with organizational objectives.
  • Ensure accurate coding, compliance, and revenue optimization for surgical services within the organization.
  • Develop strategies to improve coding accuracy, documentation, and compliance within the organization.
  • Stay current with coding software and technology tools to improve efficiency and accuracy in the coding process.
  • Generate reports on coding and billing performance, identifying trends, and presenting recommendations for improvement to senior management.

Qualifications:

  • Bachelor's degree in clinical or healthcare information management or a related field.
  • Relevant certifications (e.g., CCS, CPC, CPMA) are mandatory.
  • 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.

Skills and Abilities:

  • 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.
  • Surgery Ortho, IVR, GI, and multispecialty.
  • Demonstrated leadership and management skills, including the ability to lead and motivate a coding audit team.

Additional Responsibilities:

  • Plan, coordinate, and oversee Surgical coding audits to evaluate the accuracy and completeness of coding practices, ensuring compliance with regulatory standards.
  • 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.

Requirements:

  • Excellent communication skills to interact with coding staff, healthcare providers, and senior management.
  • Familiarity with health information systems and coding software tools.

Reporting Structure:

  • Manage the day-to-day operations to meet the monthly client deliverables with agreed SLAs.
  • Monitor & suggest the effective utilization of resources across the project and review action plan developed to improve.

Leadership Role:

  • 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.

Team Management:

  • 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.

Performance Metrics:

  • Define KRAs and assess the team performance periodically.
  • Identify the hiring requirement basis the volume forecast and coordinate with senior leadership and hiring team.

Employee Engagement:

  • Driving the employee engagement program for team.
  • Motivating the next level layers for enrolling them in leadership program to improve their leadership skills.

Cost Optimization:

  • Sharing inputs with senior leadership team on cost optimization.

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