
Manager - Medical coding
- Chennai, Tamil Nadu
- Permanent
- Full-time
- 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.