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Sr. Manager Quality - Medical Coding @ Advantmed

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 Sr. Manager Quality - Medical Coding

Job Description

Designation: Senior Manager - Quality

Reporting: Associate Director

Location: Ahmedabad


Requirements:

  • Experience: Minimum 12 years' experience in medical coding, ideally with a strong background in quality assurance and team leadership.
  • Knowledge: Deep understanding of medical coding principles, coding guidelines (ICD-10, CPT), regulatory requirements, and industry standards.
  • Certifications: Preferred certifications such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar.
  • Leadership: Strong leadership, interpersonal, and communication skills, with the ability to motivate and coach team members.
  • Analytical Skills: Excellent analytical and problem-solving skills to identify and address coding discrepancies and errors.
  • Technical Skills: Proficiency in using coding software, electronic health record (EHR) systems, and other relevant tools.
  • Education: Bachelor's degree in a related field (e.g., healthcare) preferred, with equivalent experience considered

Key Responsibilities:

  • Operations Management:
  • Oversee and coordinate coding review workload and reporting activities.
  • Ensure quality and productivity standards are consistently achieved.
  • Collaborate with audit teams to support strategic decision-making and process improvements.
  • Establish and oversee KPIs for Risk Adjustment Coding Review functions.
  • Drive coding quality, productivity, and accuracy through performance measures and monitoring.
  • Team Leadership:
  • Lead a geographically dispersed team of 30-45 employees (direct and indirect reports).
  • Provide training and development opportunities for coding staff.
  • Foster a collaborative and inclusive work environment.
  • Strategic Planning:
  • Identify improvement opportunities and provider performance trends.
  • Direct the implementation of new technologies and manage vendors.
  • Deliver routine executive and board-facing reporting on the performance of risk adjustment programs.
  • Develop and modify incentive programs in collaboration with finance and marketing teams.
  • Compliance and Regulatory Oversight:
  • Analyse implications of key changes to the regulatory and policy environment.
  • Ensure compliance with risk adjustment and coding standards.
  • Serve as a subject matter expert for risk adjustment programs.

How to Apply?

If you would like to pursue this position, please mail your updated resume at sa**************i@ad******d.com, along with the following details

  • Total & Medical Coding Experience: -
  • Current Designation: -
  • Current CTC: -
  • Expected CTC: -
  • Relocation to Ahmedabad: - Yes/No

Job Classification

Industry: Analytics / KPO / Research
Functional Area / Department: Quality Assurance
Role Category: Quality Assurance - Other
Role: Quality Assurance - Other
Employement Type: Full time

Contact Details:

Company: Advantmed
Location(s): Ahmedabad

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Keyskills:   medical coding Presentation Skills CPC Coding Quality Training Management CCS Coding Accuracy CRC Risk Adjustment HCC ICD Quality Assurance

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Advantmed

Advantmed is a health information management company committed to improving the health of our healthcare system. Based in Southern California, Advantmed is a national provider of integrated products and services that help clients capture, organize, and analyze financial and clinical data to better u...