Medical Coding Leader

3 days ago

Dombivli, Maharashtra, India beBeeCoding Full time ₹ 40,00,000 - ₹ 70,00,000

We are seeking a highly skilled and experienced medical coding leader to join our team. This individual will oversee the daily operations of the coding unit, including workload management, staffing, hiring, disciplining, performance appraisals, training, and quality monitoring.

Key Responsibilities:
  • Operational Leadership: Oversees the daily operations of the coding unit, including workload management and staffing.
  • Goal Setting: Develops long-range and short-term goals, objectives, plans, and programs, ensuring their implementation.
  • Budget Planning: Assists in planning, developing, and controlling the financial resources, including staffing costs, capital equipment, and operations of the coding unit.
  • Innovation Management: Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit.
  • Data Accessibility: Designs and implements systems and methods to improve data accessibility. Identifies, assesses, and resolves problems. Prepares administrative reports.
  • Coding Compliance: 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.
  • Regulatory Updates: Ensures the dissemination and communication of regulatory, policy, and guideline changes.
  • Audit Management: Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy.
  • Non-Compliance Issues: Reports non-compliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits.
  • Trend Analysis: Conducts trend analyses to identify patterns and variations in coding practices.
  • Claim Denials: Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plans to prevent similar denials and rejections from recurring.

Required Skills and Qualifications:

  • 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
  • Hands-on Experience in generating reports using MS Office - Excel, word and MS power point

Benefits:

  • Competitive salary
  • Health insurance options
  • Flexible working hours
  • Opportunities for professional growth
  • Inclusive, collaborative environment

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