Medical Coding - Account Manager

Medical Coding - Account Manager

812 years of experience in US Healthcare Medical Coding / RCM. Minimum 35 years of experience managing teams and medical coding accounts. Demonstrated experience handling client-facing responsibilities and large-scale operations. Experience managing multiple coding specialties/processes preferred. Strong understanding of US healthcare revenue cycle and medical coding practices. Working knowledge of ICD-10-CM, CPT, HCPCS, and modifier application, as applicable to the organizations services Strong understanding of coding compliance principles and audit readiness expectations Demonstrated ability to manage workflows, track metrics, and drive continuous improvement Proficiency with EHR and coding/billing systems, encoder tools, and productivity tracking platforms

Own end-to-end operational performance for assigned medical coding accounts. Manage daily operations across coding teams, Team Leaders, Quality Analysts, and other support functions. Ensure achievement of agreed productivity, quality, TAT, accuracy, and SLA metrics. Monitor account performance and identify operational risks before they impact client commitments. Establish appropriate staffing, capacity, and workload plans based on business volumes. Ensure effective allocation of work across coding teams and processes. Drive operational discipline, process adherence, and timely escalation management. Conduct regular operational reviews and business performance discussions. Prepare and present MIS, KPI dashboards, SLA performance, quality trends, productivity, volume, staffing, and action plans. Understand client expectations and translate them into actionable operational requirements. Manage client escalations with appropriate root-cause analysis and corrective action.

Bachelors Degree in any discipline from a recognized university. A degree/diploma in Life Sciences, Medical Sciences, Nursing, Pharmacy, or Healthcare Management will be an added advantage.

Professional Medical Coding certification such as CPC, CCS, CIC, CCA, or equivalent is preferred. Strong working knowledge of US Healthcare Medical Coding, ICD-10-CM, CPT, HCPCS, NCCI, and payer-specific coding guidelines is preferred.