Coding Manager
- Aquity Solutions
- 5 - 10 years
- Mumbai
- 27 days ago
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Job Description
About IKS Health
IKS Health enables the enhanced delivery of exceptional healthcare for todays practicing clinicians, medical groups and health systems. Supporting healthcare providers through every function of the patient visit, IKS Health is a go-to resource for organizations looking to effectively scale, improve quality and achieve cost savings through integrated technology and forward-thinking solutions. Founded in 2007, we have grown a global workforce of 14,000 employees serving over 150,000 clinicians in many of the largest hospitals, health systems, and specialty groups in the United States.
IKS Health revitalizes the clinician-patient relationship while empowering healthcare organizations to thrive. We take on the chores of healthcare spanning administrative, clinical, and operational burdens so that clinicians can focus on their core purpose: delivering great care. Combining pragmatic technology and dedicated experts, our solutions enable stronger, financially sustainable enterprises. By bringing joy and purpose back to medicine, were creating transformative value in healthcare and empowering clinicians to build healthier communities.
Vision:
Healthier Communities, Happier Clinicians, Thriving Organizations, Successful Healthcare for All.
Mission:
Our mission is to enable the efficient delivery of excellent care. We will deliver on this promise in a manner that makes it a joy for all to work with us; becoming the trusted partner that ensures financial success for our clients and healthier populations in our communities.
Position: Coding Manager
Grade: 10
Reporting To: Portfolio Leader
Designations Reporting To This Role: Medical Coder, Coding Specialist and Coding Specialist
Auditor
Department: Coding Operations
Profile Description: The coding manager is responsible for managing day-to-day operations, which includes, team management, client management (client communication, meeting SLAs), meeting and exceeding productivity and quality expectations for the account. Liaison with internal functions to ensure seamless work-flow.
Key Responsibilities:
Process :
Responsible for the day to day planning as well as work allocation for the entire team
Ensuring regular as well as on time floor and knowledge support for all the team members
Develop / maintain monthly coding production and accuracy reports to track and optimize internal productivity & quality improvement activities
Support the Portfolio Leader(s) in creating data for client calls eg: CDI - provider feedback / education efforts
Support quality/training team in creating SOPs
Ensure all coder/specialist performance data is maintained and shared as and when required
Accountable for client delivery SLAs including meeting turnaround time (TAT), daily/weekly/monthly volume deliverables and Quality
Partner with the recruitment team in the hiring efforts of the IKS Coding department
People :
Accountable for overall performance of the team as well as people metrics such as attrition (retention), absenteeism, schedule adherence, TOS
Ensuring upskilling of team members through constant coaching and feedback, execution of individual development plans and completion of performance appraisals on time
Ensuring high engagement levels in the team through various ESAT initiatives such as huddles, team meetings and EMPOWER connects
Train the team on the latest updates in regards to coding and documentation. Work with training and quality team members to make sure there is ongoing training for the team based on feedback from quality
Train the coders on various client specifications
Responsible for understanding peoples concerns and coordinating with required stakeholders for solution and escalate/highlight for any support required from PL
Define career paths and development goals for every individual in the team
Ensuring a Learning culture through constant training needs identification, training program coverage at all levels as per development plans for his/her account/department designed in the Career Architecture
Ensuring that all programs planned for Self Development are completed
Client :
Identify areas for provider education and prepare notes
Responsible for all client reports including report cards, production report and quality report
Responsible for all client workflows, reconciliation and closure
Responsible for bringing any clarifications to client and get it resolved and guide the team based on the response
Lead scheduled client calls on agenda as well document MOM
Assist PL on MBR, QBRs for performance presentations and agenda items, follow up action items and closure
Responsible for addressing all client concerns, issues at 1st level along with closing the loop to client
Responsible for responding to all client emails in a timely manner (ideally within 24 hrs)
Custodian of process SOP and own the update management and sign off from client
Accountable for delivering service as per client SLA including meeting TAT, volumes and quality
Financial :
Responsible for driving the topliner of P&L - Volumes for transactional model and resources and productivity on FTE model
Take initiatives on any revenue uplift by processing additional volumes without increasing resources/cost
Primarily assist on driving all efficiency measures at team level along with PL for cost efficiency
Assist PL on keeping the right mix of resources from cost perspective
Qualifications:
BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a must
AHIMA/AAPC certification is a must
MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantage
Role Prerequisites:
Minimum of 5 years of experience in the coding domain in Multispecialty OR IPDRG OR OBGYN OR ED specialty is a MUST
Currently working for a min of year at least as coding specialist or coding specialist auditor is a must
Functional Competencies:
Should be conversant with core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines)
Good Comprehension Skills
Detail Orientation
Good Presentation Skills
Good People Management Skills
Coaching and Feedback Skills
Good Knowledge of Microsoft Excel / G-suite is a must
Behavioral Competencies:
Accountability
Customer Service Orientation
Developing Others
Team Work
Analytical Skills
Communication
Job Classification
Industry: Medical Services / HospitalFunctional Area / Department: Healthcare & Life SciencesRole Category: Health InformaticsRole: Allied Health ManagerEmployement Type: Full timeContact Details:
Company: Aquity SolutionsLocation(s): Mumbai+ View Contact
Keyskills: Administration Nursing Team management Excel Coding CMS Healthcare Operations Client management Recruitment
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