Lead Medical Coder
5 days ago
We are seeking a seasoned AVP professional to lead our coding operations.
- The ideal candidate will have extensive experience in medical coding, with a proven track record of managing large teams of coders.
- The candidate should be certified from AAPC or AHIMA, with strong leadership capabilities, client handling experience, and a deep understanding of the healthcare industry.
About the Role:
- Oversee the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
- Develop long-range and short-term goals, objectives, plans, and programs, and ensure they are implemented.
- Evaluate the impact of innovations and changes in programs, policies, and procedures for the coding unit.
- Design and implement systems and methods to improve data accessibility. Identify, assess, and resolve problems. Prepare administrative reports.
- Monitor the coding compliance program. Develop and coordinate educational and training programs regarding elements of the coding compliance program such as appropriate documentation and accurate coding to all staff.
- Ensure the dissemination and communication of regulatory, policy, and guideline changes.
- Conduct and oversee coding audit efforts and monitor coding accuracy and documentation adequacy.
- Report non-compliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits.
- Conduct trend analyses to identify patterns and variations in coding practices.
- Review claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implement corrective action plans to prevent similar denials and rejections from recurring.
Requirements:
- Educational Qualification: Any Graduate (Preferably from Life Science background)
- Experience: 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.
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