Manager - Medical coding
3 days ago
This role is for one of the Weekday's clients
Min Experience: 8 years
Location: Chennai
JobType: full-time
We are seeking an experienced and detail-oriented Manager – Medical Coding to lead our medical coding operations and ensure accurate, compliant, and efficient coding processes across healthcare documentation. The ideal candidate will have a strong foundation in medical coding practices, guidelines, and compliance regulations along with proven team management and process improvement expertise. This role requires someone who can balance operational leadership, quality control, and stakeholder management while staying updated with the latest developments in medical coding standards.
Requirements
Key Responsibilities- Leadership & Team Management:
- Lead, mentor, and manage a team of medical coding professionals, ensuring optimal performance and career development.
- Allocate work, monitor productivity, and provide regular feedback to drive accuracy and efficiency.
- Foster a culture of continuous learning and compliance within the team.
- Medical Coding Operations:
- Oversee end-to-end medical coding processes, ensuring coding accuracy, compliance, and timeliness.
- Apply ICD-10-CM, CPT, HCPCS, and other standard coding classifications across diverse specialties.
- Conduct coding audits and quality checks to minimize errors and maintain high standards.
- Collaborate with clinical documentation specialists and physicians to resolve coding discrepancies.
- Compliance & Quality Assurance:
- Ensure adherence to regulatory requirements, payer guidelines, and HIPAA standards.
- Stay updated with changes in coding guidelines, payer policies, and healthcare regulations.
- Develop and implement internal compliance protocols and training initiatives.
- Process Excellence:
- Drive automation, best practices, and process improvement strategies in coding operations.
- Monitor coding KPIs such as accuracy, turnaround time, productivity, and denial rates.
- Partner with cross-functional teams to resolve billing/coding-related queries and reduce claim rejections.
- Stakeholder Collaboration:
- Act as a liaison between coding teams, clinical staff, billing, and revenue cycle management.
- Provide insights and reports to senior leadership on coding accuracy, productivity, and compliance performance.
- Experience: 8–18 years of proven expertise in medical coding, with at least 3–5 years in a leadership or managerial role.
- Strong knowledge of ICD-10, CPT, HCPCS, DRG coding systems, and healthcare reimbursement methodologies.
- Hands-on experience in coding audits, compliance, and quality assurance.
- Excellent understanding of healthcare documentation, payer requirements, and revenue cycle processes.
- Certification(s) such as CPC, CCS, CCS-P, or equivalent strongly preferred.
- Strong leadership, communication, and analytical skills with the ability to manage large teams.
- Experience in handling multi-specialty coding (inpatient, outpatient, physician coding) is desirable.
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