Billing Manager Certified Professional Coder

19 hours ago

Hyderabad, Telangana, India Arya Medical Billing Services Full time ₹ 12,00,000 - ₹ 36,00,000 per year

Job Summary

The Billing Manager (CPC) is responsible for overseeing the end-to-end medical billing, coding, and reimbursement operations within the organizations Revenue Cycle Management (RCM) process. This role ensures accurate claim submission, compliance with payer requirements, timely resolution of denials, and maximization of revenue. The Billing Manager also leads and mentors the billing and coding team to maintain high productivity, accuracy, and compliance standards.

Key Responsibilities

  • Team Leadership & Supervision:
  • Manage daily operations of the billing, coding, and accounts receivable teams.
  • Assign workload, monitor performance, and provide training and development to staff.

  • Conduct regular team meetings to communicate updates on payer policies, coding changes, and performance goals.

  • Billing & Coding Oversight:

  • Ensure accurate and compliant coding according to CPT, ICD-10, and HCPCS standards.
  • Review complex claims for coding accuracy and payer compliance prior to submission.

  • Monitor and correct billing errors, charge entry discrepancies, and claim rejections.

  • Revenue Cycle Management:

  • Oversee the full billing cycle from charge capture to payment posting and denial management.
  • Analyze aging reports and AR metrics to identify bottlenecks and drive collections performance.

  • Ensure timely claim submission and appeals to meet payer filing deadlines.

  • Compliance & Audit:

  • Maintain compliance with HIPAA, CMS, and payer-specific regulations.
  • Conduct periodic internal audits of coding and billing to ensure accuracy and compliance.

  • Prepare documentation for external audits and implement corrective action plans.

  • Reporting & Analytics:

  • Generate reports on billing productivity, denial trends, collection rates, and revenue performance.
  • Present financial and operational metrics to leadership for strategic decision-making.

  • Identify and implement process improvements to increase efficiency and reduce denials.

  • Cross-Department Collaboration:

  • Work closely with providers, coders, and finance teams to resolve documentation or coding issues.
  • Partner with payers to clarify claim requirements and resolve recurring issues.

Required Qualifications

  • Education:

  • Bachelors degree in Healthcare Administration, Finance, Business, or related field (or equivalent experience).

  • Certification:

  • Certified Professional Coder (CPC) required (AAPC).

  • Additional certifications such as CPB, COC, or CCS are a plus.

  • Experience:

  • 5+ years of progressive experience in medical billing and coding.
  • 2+ years in a leadership or supervisory role within RCM operations.

  • In-depth knowledge of payer reimbursement methodologies, including Medicare, Medicaid, and commercial payers.

  • Skills:

  • Strong analytical and problem-solving abilities.
  • Excellent communication and leadership skills.
  • Proficiency in RCM software (e.g., Epic, Athenahealth, eClinicalWorks, NextGen, AdvancedMD, or similar).
  • Advanced Excel and reporting skills.

Performance Metrics

  • Accuracy rate in claim submission and coding
  • Reduction in claim denials and rejections
  • Days in Accounts Receivable (A/R)
  • Compliance audit results

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