Operations Manager Medical Coding
- Suma Soft
- 10 - 15 years
- Pune
- 1 month ago
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Job Description
Role & responsibilities :
Team Leadership & Management: Supervise, mentor, and manage a team of medical coders, ensuring high-quality performance and productivity.
- Coding Compliance & Accuracy: Monitor and maintain coding accuracy, compliance with regulatory standards, and adherence to coding guidelines such as ICD-10, CPT, HCPCS, and CMS regulations.
- Quality Assurance: Review regular audits of coded records to ensure accuracy and compliance, providing feedback and training as necessary. Process Optimization: Identify areas for improvement in coding workflows and implement process enhancements to improve efficiency. Training & Development: Provide ongoing education and training to team members on coding updates, industry changes, and best practices.
- Collaboration: Work closely with US Clients other stakeholders to resolve coding discrepancies and ensure seamless production.
- Reporting & Analysis: Generate reports on coding productivity, accuracy rates, and trends, presenting findings to senior management. Regulatory Compliance: Stay updated with changes in federal, state, and payer-specific coding regulations and implement necessary updates.
- Issue Resolution: Address and resolve escalated coding issues and denials efficiently.
- Serve as the primary point of contact for clients, ensuring professional and courteous communication.
- Maintain strong relationships with clients by providing clear, accurate, and helpful information.
Preferred candidate profile ;
- Education: Bachelors degree medical related field is preferred.
- Certifications (Preferred): Must hold one or more relevant certifications such as CPC (Certified Professional Coder), CCS (Certified Coding Specialist), COC (Certified Outpatient Coder), or RHIT (Registered Health Information Technician), CPMA.
- Experience: Minimum 10+ years of hands-on medical coding experience, with at least 2 years in a leadership or supervisory role. Experience with various coding systems (ICD-10, CPT, HCPCS, etc.) and knowledge of medical terminology, anatomy, and physiology. o Oncology experience is a must. SSPL - Unauthorized access, reproduction, or distribution of this document is prohibited.
- Skills: o Excellent written and verbal communication. o Proficient in medical coding software and healthcare management systems (e.g., Epic, 3M, Cerner). High attention to detail and accuracy.
Work Environment:
Work from office.
Interested Candidates Plz Share your CV on
Email : vi*********v@su*****t.net
Contact: 8806000***
Job Classification
Industry: Analytics / KPO / ResearchFunctional Area / Department: Healthcare & Life SciencesRole Category: Healthcare & Life Sciences - OtherRole: Healthcare & Life Sciences - OtherEmployement Type: Full timeContact Details:
Company: Suma SoftLocation(s): Pune
Keyskills: Multispecialty Coder Cpc Certified
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Suma Soft
Suma Soft is a Leading Technology Services Company with legacy of 18+ years.We deliver benchmarked services & solutions for BPO, Software Development, Technical Support and Cyber Security to global clients. With a growing strength of 1500+ employees located across Pune, Nashik & Coimbatore. ...
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