Manager - Medical Coding (Multi-Specialty) || Hyderabad and Coimbatore
2 weeks ago
Role & responsibilities
- Lead, mentor, and manage a team of medical coders specializing in various specialties (e.g., Cardiology, Orthopedics, Internal Medicine, Gastroenterology, OB/GYN, etc.)
- Ensure coding is accurate, compliant, and in accordance with current CPT, ICD-10-CM, and HCPCS coding guidelines and payer-specific rules
- Monitor coding quality and productivity metrics; implement performance improvement plans as needed
- Conduct regular audits and reviews to maintain coding accuracy and compliance
- Serve as the subject matter expert (SME) for coding policies and payer updates
- Provide training and continuing education for team members on coding updates and specialty-specific guidelines
- Collaborate with billing, auditing, and clinical documentation teams to resolve coding-related issues and denials
- Develop and maintain coding policies and procedures
- Support onboarding of new coding staff and ensure competency through structured training programs
- Prepare reports and presentations for leadership on coding trends, productivity, and compliance
- Stay current on industry changes, including CMS updates, payer requirements, and regulatory compliance
Preferred candidate profile
- CPC certification (Certified Professional Coder) from AAPC is mandatory
- Minimum 5 years of medical coding experience, with at least 2 years in a leadership or supervisory role
- Proven experience in multi-specialty coding across both outpatient and/or professional services
- In-depth knowledge of CPT, ICD-10-CM, HCPCS, and modifiers
- Strong understanding of medical terminology, anatomy, and physiology
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