Assistant General Manager - Medical Coding Operations

Job Title: AGM – Medical Coding Operations

Job Purpose

The overall responsibilities for this job are to ensure client satisfaction and retention on current accounts and to help grow existing ones by identification of opportunities for enhancing services offered and ensuring the operational performance standards are met. He/she also directs and manages all activities that relate to creating a culture of quality. He/she shall be responsible for leading Quality initiatives across the department, managing as well as providing inputs into CI initiatives. This is to ensure improvements in both team as well as organizational effectiveness, thereby directly impacting the organization’s success.

Role Description

 

* Works with the GM/DGM Coding Operations, RCM Operations to determine strategy to achieve overall organizational goals. Shapes the direction of the team, keeps them focused and motivated to deliver the right results.

* Understands and demonstrates core values and Leadership Principles.

* Carries out supervisory and management responsibilities in accordance with the organization's policies and procedures.

* Solves complex client service issues by proactively identifying and eliminating root cause barriers to accuracy, productivity, and quality. Maximizes resources for the greater good of the organization.

* Lead and able to manage large teams (>=500 FTEs) to ensure efficient and seamless functioning of all operations

* Maintain cost effective and stable workforce to absorb volume efflux/influx

* Identify and assess (and drive and manage) current Quality and CI/process improvement needs and implement strong governance to address Coding Operations

* Evaluate any and all training programs qualitatively and quantitatively through feedback and surveys

* Good understanding of Quality Assurance standards and methodologies

* Excellent Team Management, Inter-Departmental Collaboration & Communication skills

Key Deliverables 

* Ensure alignment of service quality parameters to the departmental metrics as well as those SLAs as defined by the organization and clients

* To provide strategic guidance to the Operations managers to ensure service delivery is within the defined SLAs

* Plan, supervise & support quality audits and an effective feedback mechanism as is necessary for corrective actions across the Coding Operations teams

* To lead teams in performance improvement to achieve BSC objectives and metrics

* Ensure timely preparation and review of goals and development plans for direct reports. Ensure accurate handling and completion of progress reviews on performance and development plans within agreed timescales and provide ongoing feedback to Operations Managers/Operations Assistant Mangers.

* Collaborate on Operations dashboards (Tableau, DSS, Project Health, EWS) and ensure timely reporting to the GM/DGM Coding Operations

* Consistently meet predetermined metrics to achieve business objectives and customer SLAs and ensure contingency plans are in place for all services to include business recovery plans.

* Identify, assess, and implement cost control measures across Medical Coding operations for responsible location/teams

People Related

a. Create a high performance, fair and exciting work environment that provides motivation and development opportunities for the teams.

b. Ensure sharing of knowledge and best practices within the company and counsel managers to enhance performance and arrest attrition. Motivate and develop managers to include specific attention to individual development.

c. Handle all employee related escalation if intervention required

 

Experience & Qualifications:

 

Relevant Years of Experience

12 – 18 years of relevant experience

Knowledge Skill Sets

* Coding Certification from AHIMA/AAPC

* Experiential understanding of Lean Six Sigma methodologies is a plus

* Excellent interpersonal skills

* Proven analytical skills in understanding and interpreting quantitative data and providing clear output to identify trends, interpret findings, draw insights, and formulate recommendations

* Excellent Team Management, Inter-Departmental Collaboration & Communication skills

* In-depth knowledge of best practices in management and governance

Preferred Industry

U.S. Healthcare RCM

Qualification

Experience and skills over qualification

Job Location

Bangalore