r3 Consultant
Website:
r3consultant.com
Job details:
Director / Senior Director – Medical Coding & Denial Management
R3 | Location: India | Full-time
R3 is hiring a Director / Senior Director to lead our client's end-to-end medical coding and denial management operations. This is a hands-on leadership role for a certified coder who can drive coding quality, client relationships, and team performance at scale.
What You'll Do
- Lead end-to-end medical coding and denial coding operations across specialties, applying medical terminology, AMA guidelines, anatomy, physiology, and procedural knowledge (lab coding experience a plus)
- Guide the team on fixing front-end denials and rejections, and own start-up/transition projects
- Partner with clients to pitch coding solutions and educate providers on compliant coding methodology
- Own client relationships, service delivery, and internal stakeholder management
- Set direction and operating structure for coding teams; build frameworks that drive quality and ROI
- Resolve client delivery escalations by working directly with team members and client physicians
- Build feedback loops between quality assessment, training, and operations
- Drive attrition control, team engagement, and a strong client satisfaction track record
- Establish best practices across coding services; stay current via coding/reimbursement workshops and certifications
- Review payer policies regularly and cascade updates to the team
What You Bring
- Active coding certification (CPC/CCS or equivalent)
- 15+ years in medical coding, including coding audits, pre-adjudication, workflow design, and lab panel recommendations
- Strong command of ICD-10, E&M, and Pathology & Laboratory coding
- Proven experience supervising quality reviews for a delivery team
- Currently a Vice President / Director with 3.5+ years, or Senior Director with 1.5+ years, in current designation
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