Assistant Manager - Medical & Clinical Operations

Discipline - Medical and Clinical Operations

Industry - Medical Coding

Details of Responsibilities :

Years of Experience :

- Minimum of 5+ years of medical coding/ experience and around 2 years of people management & client management experience. Should have led large teams around 20+ team size.

- Manage the Provider Coding projects.

- Develop/maintain coder new hire standards

- Maintain coder training materials

- Research and resolution of coding projects as assigned.

- Research and implement revisions to Rules and Regulations which govern inpatient & outpatient physician coding

- Attend seminars related to Coding and Compliance and education of new Payment Systems

- Serve as a coding resource for internal departments within Medicare Advantage

- Assist Directors with intervention of client issues pertaining to chart reviews

- Attend conference calls as necessary to provide information relating to coding and compliance

- Assist with review of client data as related to coding

- Inform the Management of trends identified through the review and validation process

- Provide related weekly, monthly and year end reports of audit findings

- Manage the quality analysis process of the Medicare Advantage Coders

- Direct training as applicable for Medicare Advantage Coders

- Assist Medicare Advantage Coders with chart reviews as applicable

- Responsible to lead a team of certified coders. Maintains staff by recruiting, selecting, orienting, and training employees; -maintaining a safe, secure, and legal work environment; developing personal growth opportunities.

- Performance Management - Timeliness, Quality and Productivity metrics

- Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards.

- Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements.

- Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies

Specific Measurements of Performance :

- The Coding Supervisors are given weekly, monthly and quarterly quality and production goals for their individual teams.- The progress of each team is monitored by the Associate Director based on reports generated weekly, monthly and quarterly.

No. of Openings - 0

Qualification/Critical Skills Required :

- Ability to use Microsoft Office Products (Excel and Access); Ability to operate basic office equipment (copier and facsimile machine).

Personality/ Behavioral Aspects :

- 5- 8 years of experience in medical coding

- Should have Bachelor Degree.

- Excellent Interpersonal skills.

- Strong Proficiency in MS Office.

- Sound Reporting/ MIS Skills.

- Exposure to all the facets of Operation Management.

- Six Sigma Knowledge / Certified/ Trained.

- Exposure to people management, Performance Management and Client Management.

- Transition Experience preferred.

- Should Certified Coder & AAPC, AHIMA.

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