Job Description
We are seeking a highly skilled and experienced AGM Medical Coding professional to join our team at Hyderabad location. The ideal candidate will have over 10-12 years of experience in medical coding, with a proven track record of managing large teams of 150 to 200 coders. The candidate should be certified from AAPC or AHIMA, with strong leadership capabilities, client handling experience, and a deep understanding of the healthcare and medical coding industry.
Roles and Responsibilities:
- Oversees the daily operations of the coding unit including workload and staffing;
- hiring, disciplining, and performance appraisals; training; and monitoring quality of
- work.
- Develops long range and short term 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 follow up 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.
- Anyone 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.
