AX
Job Description
Key Responsibilities:
- Lead and manage a coding delivery team focused on E&M and Surgery specialties.
- Monitor team performance, productivity, and coding accuracy against project KPIs and SLAs.
- Conduct regular quality checks, audits, and RCA for errors and denials.
- Serve as the first point of escalation for delivery-related client queries or concerns.
- Work closely with QA and Training teams to upskill coders and reduce error rates.
- Maintain compliance with CMS, AAPC, AHIMA, and client-specific coding guidelines.
- Prepare and present daily/weekly delivery reports to management and clients.
- Support hiring, onboarding, and mentoring of new coders and team members.
Qualifications & Skills:
- Education: Life Science / Paramedical Graduate
- Certifications: CPC / COC / CCS (Mandatory)
- Experience:
- Minimum 5 years of coding experience in E&M and Surgery
- Minimum 2 years in a leadership/delivery role in a US healthcare RCM environment
Key Skills Required:
- Expert-level knowledge of ICD-10-CM, CPT, modifiers, NCCI edits, and E&M 2021 guidelines
- Understanding of multiple surgical specialties (Ortho, Gen Surgery, ENT, etc.)
- Experience managing coding delivery teams, including performance reviews
- Strong communication, stakeholder management, and conflict resolution skills
- Hands-on experience with encoder tools (3M, TruCode), EMR systems, and coding audit tools