Oversee coding workflows, assign priorities, and ensure productivity, quality, and turnaround time targets are consistently achieved.
Stay current with coding guideline updates, payer policies, regulatory changes, and industry best practices, and communicate relevant updates to the team.
Conduct regular coding audits and quality reviews to ensure compliance with coding standards, documentation requirements, and organizational policies.
Collaborate with cross-functional teams, including Analytics, Repricing, Quality, and Compliance, to optimize coding operations and resolve coding-related issues.
Monitor and analyze key performance indicators (KPIs), identify performance gaps, and implement continuous improvement initiatives.
Apply payment integrity principles to identify coding inaccuracies, documentation deficiencies, billing errors, and revenue optimization opportunities.
Serve as the subject matter expert (SME) for multi-specialty surgical coding and payment integrity, providing guidance to internal stakeholders and supporting accurate documentation and coding practices.
Ensure compliance with healthcare regulations, including HIPAA, HITECH, CMS, Medicare, and commercial payer requirements.
Experience:
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CPC+ 3 years' experience in multi-specialty surgery coding including IVR, General surgery, Infusion and Injection and Radiation oncology
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Auditing and denial management experience (Optional)
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Extensive experience in medical coding, with a focus on surgery coding and strong knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
Qualification:
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Bachelor’s degree in clinical or healthcare information management or a related field. Relevant certifications (e.g. CCS, CPC, CPMA) are mandatory.
Communication Skill:
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Strong written (documentation) and oral communication skills
Working Hours:
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40 hours per week as Full-time employee
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Shift time: 8:00 PM IST - 5:00 PM IST
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Weekends Off
Telecommuter/Internet requirements, if applicable:
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High Speed internet connection at home, must be broadband
Must understand and adhere with telecommuter policy.
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