General Manager - Medical Coding

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.

As a General Manager – Medical Coding, you will be responsible for the management of hospital and Professional coding operations including ICD and CPT code assignment, case abstracting, charge capture, pre-bill quality reviews and other billing edit work queues.

Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role.

• Oversees the daily operations of the coding team including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
• Serves as a coding subject matter expert for the organization, serving on an array of business operations and clinical committees.
• Accountable for active daily management of Discharged Not Billed (DNB) work queues to assure targets are consistently met.
• Assures appropriate staffing levels and adherence to fiscal targets.
• Participates in the formulation of objectives and strategies for integrating coded clinical information to support goals for patient care, teaching, research, and optimizing management of resources.
• Develops and manages key coding performance indicators and metrics.
• Develops and oversees a comprehensive quality assurance and productivity program for coding staff.
• Assures coding staff is provided with the technology and education to support optimal performance.
• Collaborates with leadership to optimize workflows and EHR technology.
• Manages Single Path Coding and Coding managers, and collaborates with Coding Education and Quality Manager.
• Directs the preparation of routine and custom reports to management and clinical leadership.
• Demonstrates in-depth working knowledge of ICD, CPT, MS-DRGs and APR-DRGs code classifications/groupers with ability to analyze and trend key metrics including CMI.
• Assures the accurate and timely completion of all coding related activities.
• Provides input to coding and medical record documentation guidelines to assure compatibility and compliance with all regulatory, third party and SHC policies.
• Provides input to the direction for the establishment and maintenance of documentation standards and policies and procedures related to coding activities.
• Collaborates with other key stakeholders in the creation of effective programs and initiatives as related to physician quality profiles and financial performance.
• Oversees and manages the coding denial management activities.
• Communicates clearly, proactively and concisely with all key stakeholders.
• Hands-on experience in any Encoder tools specific to Hospital coding, such as 3M, Trucode, etc., is preferred.
• Achieve the set targets and cooperate with the respective team in achieving the set Turnaround Time, keeping an elevated level of accuracy
• Maintains a high degree of professional and ethical standards
• Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards.
• Focuses on updating coding skills and knowledge by participating in coding team meetings and educational conferences
• Extensive knowledge of coding principles and guidelines.
• Extensive knowledge of hospital/technical and professional services reimbursement systems.
• Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
• Strong managerial, leadership, and interpersonal skills.




QUALIFICATIONS:

• Graduate or Post Graduate in Life Science, Pharmacy, Physiotherapy, Zoology, Microbiology discipline
• Six Sigma certification (Black/Green) Belt
• PMP Certification is an advatage
• 12+ years of industry experience of which 2+ years in managing large coding teams
• CPC – Certified Coding Professional or
• CCS - Certified Coding Specialist
• US Travel Visa and transition experience will be an advantage

Position Level

Senior Manager

Country

India