Website:
trevexahealth.com
Job details:
Position: Medical Coding Manager
Employment Type: Full-Time
Experience: 13+ Years in U.S. Healthcare RCM / Medical Coding
Managerial Experience: Minimum 2+ Years
Compensation: ₹15,00,000 – ₹25,00,000 per annum
Mandate Certifications:
Professional coding certification is Mandated, including:
- CPC – Certified Professional Coder
- CCS – Certified Coding Specialist
- COC – Certified Outpatient Coder
- CRC or other relevant specialty certifications
Position Overview:
Trevexa Health Solutions is seeking an experienced Medical Coding Manager to lead and manage Medical Coding operations across multiple healthcare client accounts.
The ideal candidate will have 13+ years of U.S. Healthcare RCM and Medical Coding experience, including at least 2 years of managerial experience, with extensive knowledge of coding guidelines, coding compliance, quality management, team leadership, analytics, and coding KPIs.
The position requires a strong operational leader capable of managing large coding teams while maintaining high standards for coding accuracy, productivity, compliance, and turnaround time.
Key Responsibilities:
- Lead and manage Medical Coding operations across assigned healthcare client accounts.
- Manage large teams of Medical Coders, Senior Coders, Auditors, and Team Leads.
- Establish and monitor daily, weekly, and monthly coding productivity and quality targets.
- Ensure accurate assignment of ICD-10-CM, CPT, HCPCS, modifiers, and other applicable codes.
- Ensure coding is supported by appropriate clinical documentation.
- Monitor coding accuracy and identify recurring coding or documentation issues.
- Review coding audits, quality findings, and coding-related denial trends.
- Conduct root-cause analysis for coding errors and develop corrective action plans.
- Identify potential undercoding, overcoding, missed coding opportunities, and compliance risks.
- Monitor provider documentation deficiencies and establish appropriate query processes.
- Coordinate with providers and internal teams to address documentation-related coding issues.
- Monitor coding-related denials and work with Denial Management and AR teams to identify preventive solutions.
- Conduct periodic internal coding audits and quality reviews.
- Develop and maintain coding SOPs, specialty-specific coding guidelines, and client-specific workflows.
- Ensure coding teams remain current with annual and periodic coding guideline changes.
- Monitor employee productivity, quality, accuracy, and turnaround time.
- Conduct performance reviews with Coding Team Leads and staff.
- Identify training requirements and implement corrective training programs.
- Support new-client implementation, coding transition, workflow development, and stabilization.
- Prepare and review coding performance reports for senior management.
- Ensure compliance with HIPAA requirements, payer policies, client requirements, and applicable coding standards.
Required Qualification:
- 13+ years of U.S. Healthcare RCM / Medical Coding experience.
- Minimum 2+ years of managerial experience in Medical Coding operations.
- Previous experience managing large Medical Coding teams.
- Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and applicable coding guidelines.
- Strong knowledge of medical terminology, anatomy, clinical documentation, and coding compliance.
- Experience conducting coding audits and quality reviews.
- Strong understanding of coding-related denials and root-cause analysis.
- Strong analytical and problem-solving capabilities.
- Strong knowledge of Medical Coding KPIs and performance management.
- Demonstrated leadership and people-management capabilities.
- Ability to manage multiple client accounts, specialties, and operational priorities.
- Strong written and verbal communication skills.
Click on Apply to know more.