AGM for HCC Medical Coding

About the job

We are seeking a highly skilled and experienced AGM Medical Coding professional to join our team at Hyderabad location. The ideal candidate will have over 15+ years of experience in medical coding and 8-10 years in a leadership role along with an HCC background with a proven track record of managing large teams of 150 to 200 coders. The candidate should be certified from AAPC or AHIMA, with strong leadership capabilities, client handling experience, and a deep understanding of the healthcare and medical coding industry. Roles and Responsibilities: • Oversees the daily operations of the coding unit including workload and staffing; • hiring, disciplining, and performance appraisals; training; and monitoring quality of work. • Develops long range and short term goals, objectives, plans, and programs and ensures they are implemented. • Assists in planning, developing, and controlling the budget, including staffing costs, capital equipment, and operations of the coding unit. • Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit. • Designs and implements systems and methods to improve data accessibility. Identifies, assesses, and resolves problems. • Prepares administrative reports. • Oversees and monitors the coding compliance program. • Develops and coordinates educational and training programs regarding elements of the coding compliance program such as appropriate documentation and accurate coding to all appropriate staff. • Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes. • Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy. • Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow up audits. • Conducts trend analyses to identify patterns and variations in coding practices. • Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan to prevent similar denials and rejections from recurring. Required Expertise & Qualification: • Life Science graduation or any equivalent graduation with Anatomy / Physiology as main subjects. • Master’s degree in business administration preferred. • 15+ years of overall coding experience, out of which a minimum 8-10 years in team handling of a team size ranging between 250 to 600 team members. • Anyone of the following coding certifications CPC, COC, CRC, CPCP from AAPC CCS, CCSP, CCA from AHIMA. • Excellent communication skills, both verbal and written. • Strong managerial, leadership, analytical and interpersonal skills. • Outstanding organizational skills. • Hands on Experience in generating reports using MS Office Excel, word and MS power point.

Qualifications

• Life Science graduation
• Master’s degree in business administration preferred
• AAPC or AHIMA certification

Benefits

• Competitive salary
• Health insurance options
• Flexible working hours
• Opportunities for professional growth
• Inclusive, collaborative environment