Suma Soft - Medical Coding Manager
Job Title: Medical Coding Manager
Location: Erandwane, Kothrud Pune - 411004
Job Type: Full-time, Day Shift
Salary: As per experience and best in industry
Job Summary:
We are seeking a highly skilled and certified Medical Coding Team Leader to oversee and manage a team of medical coders. The ideal candidate will have extensive experience in medical coding, strong leadership skills, and a deep understanding of healthcare regulations and compliance standards. This role requires ensuring accuracy, efficiency, and adherence to industry best practices in medical coding while leading a team toward operational excellence.
Key Responsibilities:
- Team Leadership & Management: Supervise, mentor, and manage a team of medical coders, ensuring high-quality performance and productivity.
- Coding Compliance & Accuracy: Monitor and maintain coding accuracy, compliance with regulatory standards, and adherence to coding guidelines such as ICD-10, CPT, HCPCS, and CMS regulations.
- Quality Assurance: Review regular audits of coded records to ensure accuracy and compliance, providing feedback and training as necessary.
- Process Optimization: Identify areas for improvement in coding workflows and implement process enhancements to improve efficiency.
- Training & Development: Provide ongoing education and training to team members on coding updates, industry changes, and best practices.
- Collaboration: Work closely with US Clients other stakeholders to resolve coding discrepancies and ensure seamless production.
- Reporting & Analysis: Generate reports on coding productivity, accuracy rates, and trends, presenting findings to senior management.
- Regulatory Compliance: Stay updated with changes in federal, state, and payer-specific coding regulations and implement necessary updates.
- Issue Resolution: Address and resolve escalated coding issues and denials efficiently.
- Serve as the primary point of contact for clients, ensuring professional and courteous communication.
- Maintain strong relationships with clients by providing clear, accurate, and helpful information.
Required Skills and Qualifications:
Education:
- Bachelors degree medical related field is preferred.
Certifications (Preferred):
- Must hold one or more relevant certifications such as CPC (Certified Professional Coder), CCS (Certified Coding Specialist), COC (Certified Outpatient Coder), or RHIT (Registered Health Information Technician), CPMA.
Experience:
- Minimum 8+ years of hands-on medical coding experience, with at least 2 years in a leadership or supervisory role.
- Experience with various coding systems (ICD-10, CPT, HCPCS, etc.) and knowledge of medical terminology, anatomy, and physiology.
- Oncology experience is a must.
Skills:
- Excellent written and verbal communication.
- Proficient in medical coding software and healthcare management systems (e.g., Epic, 3M, Cerner).
- High attention to detail and accuracy.
Other Skills:
- Strong organizational and multitasking abilities.
Work Environment:
- Work from office.
Compensation and Benefits:
- Competitive salary and benefits, including health insurance and paid time off.
- This position is an excellent opportunity for individuals looking to advance their careers in Medical
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