Job Description
Manager - Medical Coding Operations
Would you like to join an organization that is experiencing rapid growth? You may be the person we are looking for!
NextGen Business Solution looking for Manager - Medical Coding Operations.
NGBS was founded with the goal of revolutionizing health care by providing exemplary services to our value-based service partners.
Great work comes from people who are inspired to achieve their best. Our team is made up of talented and experienced individuals dedicated to improving healthcare quality. You will find ample opportunity for growth and innovation within NGBS's fast-growing company.
PRINCIPAL ACCOUNTABILITIES
Responsible for managing the coding functions for all value based care services (HCC coding and HEDIS Reviews).
The coding manager is responsible for planning, implementing, and educating coding staff and other departments to ensure coding quality and timely reimbursement.
Attend US client calls in the evening
Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work.
Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff.
Assists in the department budget and identifies and recommends opportunities to decrease cost and improve services.
Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions.
Review medical record information to identify all appropriate coding based on CMS HCC model.
Manage the coding workflow for efficiency
Handles special projects as requested by leadership
Participate in audits of coded data to validate documentation support services rendered for reimbursement and reporting purposes.
Comprehensive understanding of data systems and reporting for health record coding
Vendor management - Hire and train coding , responsible for vendor performance
Responsible for hire and fire employees
Consistently demonstrates attention to detail and accuracy in work product by meeting or exceeding productivity standards and maintaining a company standard of accuracy
Other duties as assigned.
MINIMUM QUALIFICATIONS
Education: Bachelor's Degree in any life science
Licences/Certifications: CPC/COC/CRC/CCS/CIC
Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
Interpersonal skills necessary to provide effective leadership to departmental personnel
4+ years experience in HCC coding
2+ years experience in managing coding team
Previous leadership or supervisory experience that includes conducting coaching/training of coding staff
Risk Adjustment and/or HEDIS experience preferred
Office Location : East Tambaram, Zip code : 600073
WORK FROM OFFICE
Job Type: Full-time
Pay: ₹25,000.00 - ₹45,000.00 per month
Schedule:
Monday to Friday
Weekend availability
Supplemental pay types:
Yearly bonus
Ability to commute/relocate:
Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred)
Education:
Bachelor's (Preferred)
Experience:
HCC coding: 1 year (Preferred)
Work Location: In person
Would you like to join an organization that is experiencing rapid growth? You may be the person we are looking for!
NextGen Business Solution looking for Manager - Medical Coding Operations.
NGBS was founded with the goal of revolutionizing health care by providing exemplary services to our value-based service partners.
Great work comes from people who are inspired to achieve their best. Our team is made up of talented and experienced individuals dedicated to improving healthcare quality. You will find ample opportunity for growth and innovation within NGBS's fast-growing company.
PRINCIPAL ACCOUNTABILITIES
Responsible for managing the coding functions for all value based care services (HCC coding and HEDIS Reviews).
The coding manager is responsible for planning, implementing, and educating coding staff and other departments to ensure coding quality and timely reimbursement.
Attend US client calls in the evening
Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work.
Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff.
Assists in the department budget and identifies and recommends opportunities to decrease cost and improve services.
Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions.
Review medical record information to identify all appropriate coding based on CMS HCC model.
Manage the coding workflow for efficiency
Handles special projects as requested by leadership
Participate in audits of coded data to validate documentation support services rendered for reimbursement and reporting purposes.
Comprehensive understanding of data systems and reporting for health record coding
Vendor management - Hire and train coding , responsible for vendor performance
Responsible for hire and fire employees
Consistently demonstrates attention to detail and accuracy in work product by meeting or exceeding productivity standards and maintaining a company standard of accuracy
Other duties as assigned.
MINIMUM QUALIFICATIONS
Education: Bachelor's Degree in any life science
Licences/Certifications: CPC/COC/CRC/CCS/CIC
Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
Interpersonal skills necessary to provide effective leadership to departmental personnel
4+ years experience in HCC coding
2+ years experience in managing coding team
Previous leadership or supervisory experience that includes conducting coaching/training of coding staff
Risk Adjustment and/or HEDIS experience preferred
Office Location : East Tambaram, Zip code : 600073
WORK FROM OFFICE
Job Type: Full-time
Pay: ₹25,000.00 - ₹45,000.00 per month
Schedule:
Monday to Friday
Weekend availability
Supplemental pay types:
Yearly bonus
Ability to commute/relocate:
Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred)
Education:
Bachelor's (Preferred)
Experience:
HCC coding: 1 year (Preferred)
Work Location: In person
💡 Quick Summary
Seeking a career-building opportunity? The Manager | Medical Coding Operations |HCC| Risk Adjustment Coding position is now open for candidates interested in the Operations Executive Jobs sector. This role in Chennai offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Operations Executive Jobs is a plus.
