Senior Leadership Role

5 days ago

Tirupati, Andhra Pradesh, India beBeeCompliance Full time ₹ 1,00,00,000 - ₹ 1,50,00,000
Job Title: Senior Leadership Role

This is an exceptional opportunity for a seasoned professional to assume a pivotal position in our medical coding department.

The ideal candidate will have extensive experience in managing large teams, with a proven track record of supervising 250 to 600 coders.

Key Responsibilities:

  • Oversees the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance evaluations; 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 relevant staff.
  • Ensures the 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.

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