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Director - Coding Services

10 - 12 years

22 - 30 Lacs

Posted:1 day ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

  • Oversees the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work
  • Develops longrange and shortterm goals, objectives, plans, and programs and ensures they are implemented
  • Assists in planning, developing, and controlling the budget, including staffing costs, capital equipment, and operations of the coding unit
  • Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit
  • Designs and implements systems and methods to improve data accessibility
  • Identifies, assesses, and resolves problems
  • Prepares administrative reports
  • Oversees and monitors the coding compliance program
  • Develops and coordinates educational and training programs regarding elements of the coding compliance program such as appropriate documentation and accurate coding to all appropriate staff
  • Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes
  • Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy
  • Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of followup audits
  • Conducts trend analyses to identify patterns and variations in coding practices
  • Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan to prevent similar denials and rejections from recurring

Required Expertise & Qualification:

  • Life Science graduation or any equivalent graduation with Anatomy/Physiology as main subjects
  • Master s degree in business administration preferred
  • 10 12 years of overall coding experience, out of which a minimum 5 years in team handling of a team size ranging between 250 to 600 team members
  • Any one of the following coding certifications CPC, COC, CRC, CPCP from AAPC CCS, CCSP, CCA from AHIMA Excellent communication skills, both verbal and written
  • Strong managerial, leadership, analytical and interpersonal skills
  • Outstanding organizational skills
  • Hands on Experience in generating reports using MS Office Excel, word and MS power point

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