Senior Medical Coding Director

6 days ago

Tiruchi, Tamil Nadu, India beBeeMedicalCoding Full time ₹ 1,80,00,000 - ₹ 2,25,00,000
Medical Coding Leadership Opportunity

We are seeking a highly skilled and experienced AVP Medical Coding professional to join our organization.

  • The ideal candidate will have over 17+ years of experience in medical coding, with a proven track record of managing large teams of 250 to 600 coders.
  • The candidate should be certified from AAPC or AHIMA, with strong leadership capabilities, client handling experience, and a deep understanding of the healthcare and medical coding industry.
Key Responsibilities:
  1. Daily Operations Management: Oversees daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
  2. Goal Development and Implementation: Develops long-range and short-term goals, objectives, plans, and programs and ensures they are implemented.
  3. Budget Planning and Control: Assists in planning, developing, and controlling budgets, including staffing costs, capital equipment, and operations of the coding unit.
  4. Innovation Evaluation and Problem Resolution: Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit.
  5. Data Accessibility Improvement: Designs and implements systems and methods to improve data accessibility. Identifies, assesses, and resolves problems. Prepares administrative reports.
  6. Coding Compliance Program Oversight: 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.
  7. Regulatory Updates and Communication: Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes.
  8. Coding Audit and Monitoring: Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy.
  9. Non-Compliance Reporting: Reports non-compliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits.
  10. Trend Analysis: Conducts trend analyses to identify patterns and variations in coding practices.
  11. Claim Denial and Rejection Review: 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
  • Any Graduate (Preferably from Life Science background)
  • 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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