Manager Senior Manager | Medical Coding | Cdi | Ipdrg | Us Health @ Omega Healthcare

Job Description

Medical Coding | CDI | IPDRG | US Healthcare RCM - Manager /Senior Manager

Location : Chennai - WFO

Job Summary

We are hiring a senior leadership professional for the role of Manager / Senior Manager and DGM (Medical Coding & Clinical Documentation Improvement CDI) to manage large-scale US Healthcare RCM delivery operations. The role requires deep expertise in IPDRG coding, CDI operations, end-to-end delivery management, SLA governance, client handling, and large team leadership. The incumbent will drive operational excellence, productivity, quality compliance, and client satisfaction across multiple healthcare accounts.

Key Responsibilities

• Lead end-to-end delivery management for Medical Coding, IPDRG, and CDI operations.
• Define and execute delivery strategy, operating models, and transformation initiatives.
• Manage RCM operations, coding quality, productivity, accuracy, and audit compliance.
• Own resource planning, capacity management, utilization, and workforce forecasting.
• Drive SLA, TAT, AR metrics, coding accuracy, and compliance reporting.
• Handle client escalation management, stakeholder communication, and business reviews.
• Lead and mentor Senior Managers, Managers, Team Leads, QAs, and Coders (large FTE strength).
• Drive process excellence, automation, Six Sigma, Lean, and performance improvement initiatives.
• Partner with Transitions, Training, Quality, HR, IT, Compliance, and Analytics teams.
• Ensure adherence to HIPAA, AHA coding guidelines, CMS regulations, and payer policies.
• Lead transition management, ramp-ups, new client onboarding, and program expansions.
• Present MIS dashboards, productivity reports, SLA scorecards, and executive governance reviews.

Mandatory Skills & Expertise:

• Medical Coding Delivery Management
• Clinical Documentation Improvement (CDI)
• IPDRG / Inpatient Coding / DRG Validation
• US Healthcare Revenue Cycle Management (RCM)
• Large Team Handling (200+ / 300+ FTEs)
• Client Relationship Management & Escalation Handling
• SLA, TAT, Productivity, Accuracy & Quality Governance
• Audit, Compliance, HIPAA, CMS, AHA Guidelines
• Lean, Six Sigma, Process Excellence, Automation
• Transition Management & New Program Launch

Eligibility Criteria

• Total Experience: 10 to 20 years in US Healthcare RCM / Medical Coding / CDI
• Experience in Managerial Roles: 5 + years
• Leadership Experience: 3+ years
• Must have handled multi-client enterprise delivery portfolios

Education & Certifications

• Bachelors / Masters Degree Any discipline

Regards,

Rumal - 7397647***

Ru*********i@om*****s.com

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Keyskills:   Cdi Ipdrg Coding Drg Clinical Clinical Documentation Improvement Ip Drg Medical Coding