Manager - Medical Coding

Primary Responsibilities:

• Be able to maintain knowledge of coding and regulatory changes
• KPIs to include but not limited to Productivity, quality, TAT, Attendance and Attrition
• Quick turnaround using logical understanding of data
• Manages overall personnel, performance, and operation hygiene across all assigned project(s)
• Provide expertise and leadership in assigned functional area
• Manage relationship with internal and external stakeholders and functions
• Manage all client interaction and client communication. Should front end the relationship with the client
• Review and analysis of periodic reports and metrics
• Promotes, leads and supports quality initiatives targeted towards process improvements
• Actively involved in the internal audit support, ensuring all compliance parameters are met
• Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork
• Provide direction to staff; ensure resolution of problems; sets priorities
• Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s)
• Managing attrition and building retention strategies
• Preparation of annual business plans including operating budgets
• Negotiating solutions, resolving conflicts and anticipating/handling critical situations
• Providing regular performance feedback and giving frequent formal and informal coaching sessions
• Provide support to existing team, build new team of freshers, manage quality and productivity
• Work with onshore partners to improve team performance and ensure team growth
• Manage career progression of team and have an attitude of servant leadership
• Ensure team engagement and manage attrition

Required Qualifications:

• Bachelor's degree, preferably in life sciences
• Coding Certification from AAPC or AHIMA (CIC/CCS)
• 12+ years of experience in Provider Coding - IP DRG
• Knowledge of budgeting, cost estimating, capacity utilization principles and procedures
• Knowledge of organizational structure, workflow, and operating procedures
• Good understanding of US Healthcare RCM with focus on Medical Coding
• Proficiency in IP DRG training, development of curriculum and continuous education of team with high performance outcome
• Proficient in healthcare reimbursement methodologies
• Proven good analytical skills
• Proven good interpersonal and communication skills
• Proven acumen towards employee engagements & driving customer satisfaction
• Proven ability to develop comprehensive planning and project management
• Proven ability to work effectively with a wide range of stakeholders
• Proven ability to effectively handle large teams in a fast moving business environment
• Proven ability to supervise and manage a team of frontline supervisors
• Proven ability to manage a team of 50 to 100 coders
• Proven ability to effectively interface with all levels of coding and auditing personnel (internal / external) and customers

Preferred Qualifications:

• Experience in establishing IP coding teams with end-to-end in employee lifecycle
• Experience in team management at Optum.