Senior Operations Leader

9 hours ago


Nashik, Maharashtra, India beBeeCompliance Full time ₹ 2,00,00,000 - ₹ 2,50,00,000

Job Title: Associate Vice President

Key Responsibilities:
  • Oversee 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.
  • Assist in planning, developing, and controlling budget for coding unit, including staffing costs and operational expenses.
  • Evaluate impact of innovations and changes in programs, policies, and procedures for coding unit.
  • Design and implement systems to improve data accessibility. Identify, assess, and resolve problems. Prepare administrative reports.
  • Oversee and monitor coding compliance program. Develop and coordinate educational and training programs regarding elements of coding compliance program such as documentation and accurate coding.
  • Ensure dissemination and communication of regulatory, policy, and guideline changes.
  • Conduct and oversee coding audit efforts and monitor accuracy and documentation adequacy.
  • Report non-compliance issues detected through auditing and monitoring, corrective action plans, and results of follow-up audits.
  • Conduct trend analyses to identify patterns and variations in coding practices.
  • Review claim denials and rejections related to coding and medical necessity issues, and implement corrective action plan to prevent similar denials and rejections.


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