Manager - Operation

About the role

In-depth knowledge of ICD-10-CM, CPT, HCPCS, modifier usage, and payer-specific coding guidelines. Comprehensive understanding of CMS, Medicare, Medicaid, LCDs, NCDs, commercial payer policies, and reimbursement methodologies. Proficiency in coding software, auditing tools, and Electronic Health Record (EHR) systems.

What you'll do

• Lead and manage a team of medical coding specialists, ensuring accurate and timely auditing of multi-specialty surgical claims
• Provide coaching, training, and mentorship to enhance team performance and foster a collaborative work environment
• Oversee coding workflows, assign priorities, and ensure productivity, quality, and turnaround time targets are consistently achieved
• Conduct regular coding audits and quality reviews to ensure compliance with coding standards, documentation requirements, and organizational policies
• Collaborate with cross-functional teams, including Analytics, Repricing, Quality, and Compliance, to optimize coding operations and resolve coding-related issues

What you need

• 7–13 years in operations
• Medical coding
• Documentation
• Team management
• Process improvement
• Problem solving
• BBA

What you get