Senior Presales Manager - Medical Coding

Job Description -

- The role is primarily Practice/Presales + Delivery.

- Ensure adherence to external and internal quality and security standards (HIPPA / HITECH /ISO).

- Timely intervention to improve quality.

- Proficient in preparing Day-to-Day report, Weekend report, month end report, coding profile Report, Daily quality report, and monthly quality report.

- Manage the delivery of services and PL.

- Production planning monthly, weekly, and daily queue management, movement of resource on need basis.

- Guide Operations on functional aspects of coding and endeavour to improve coding standards in the team and Manage high Customer Satisfaction Level

- Taking actions based on feedback from Client's satisfaction.

- Reviewing the Trend on weekly basis and analysing the reasons if there is any deviation.

- Manage the overall performance management of the team.

- Manage Team Attrition

Job Specification -

- Should have HCC coding & HEDIS experience.

- Experience of Medicare, Medicaid, Commercial LOB.

- Worked on HCC Coding - Prospective, Retrospective, Concurrent Projects.

- Experience of HEDIS Quality Measures.

- Experience of Vendor Management.

- Medical coding certification through either AAPC or AHIMA: CPC/COC/CIC/CCS.

- Strong understanding of healthcare principles and concepts.

- Good at creating SOPs, SOW, Vendor agreement, Process mapping.

- Strong Client interaction and Management Skills.

- Good Communication Skills, Analytical Skills, and Interpersonal Skills