Urgent Hiring | RCM Lead - Coding & Denials

About Us
NPB Consultants Pvt. Ltd. (NPB Health) is a trusted partner in US Healthcare Revenue Cycle Management. We support a large multi-specialty medical group in New York - Middletown Medical - with 130+ providers across 20+ locations, working directly on their claims across a wide range of specialties. We're expanding our RCM team and hiring AR professionals at multiple levels as our work grows. Join a team that values skill, integrity, and excellence.

Role Overview

We are hiring one Senior Manager, Coding & Denial Management, in the Delhi office to run both the coding team and the denial team as a single function. The role exists because most denials trace back to coding, charge entry or authorization errors, so one leader must own the loop from coding accuracy through denial root cause and prevention.

Reports to: Leadership (US), with a monthly scorecard review
Location / shift: Delhi office, work from office, US-hours overlap required
Scope: coding team + denial team (ECW), multi-specialty physician group with urgent care, lab, imaging, infusion, cardiology and nephrology

RESPONSIBILITIES

Coding

• Own coding accuracy for all specialties: E/M (2021+ office guidelines), procedures, modifiers (25, 59/X{EPSU}, 26/TC), NCCI edits, ICD-10-CM specificity, LCD/NCD medical necessity
• Run monthly coding audits (minimum 20 charts per coder) and provider-level feedback reports for US leadership
• Maintain specialty coding SOPs and ECW claim-scrubber rules so known errors are blocked before submission

Denials

• Make sure every denial is worked within 48-72 hours; triage by CARC/RARC, payer and specialty
• Lead appeals and corrected claims; track overturn rate by payer
• Produce a weekly top-10 denial root-cause report (eligibility, authorization, coding, timely filing, credentialing) with an owner and fix for each
• Escalate front-end issues (missing prior auths, eligibility, registration) to the US clinics with examples

People

• Hire, train, set daily productivity and quality targets, and hold team leads accountable by name
• Run the ECW training program for the billing office

QUALIFICATIONS

The non-negotiable is hands-on experience leading both coding and AR/denials for a US physician group.

Required

• Graduate; life sciences, pharmacy, nursing or physiotherapy preferred
• AAPC CPC or AHIMA CCS, active
• 10+ years in US healthcare RCM, including 4+ years managing teams of 25+ people
• Multi-specialty professional (physician) coding, not only hospital/facility
• Denial management: CARC/RARC, appeals, corrected claims, timely filing, COB
• Medicare, NY Medicaid and commercial payers (UHC, Aetna, Empire/Anthem, Cigna)
• Strong Excel (pivots, lookups) and ability to present data to US physicians
• Fluent written and spoken English

Preferred

• CPMA (auditing) or CRC (risk adjustment)
• 2+ years hands-on in eClinicalWorks PM
• Experience with infusion/drug billing, cardiology, radiology, lab or urgent care
• Clearinghouse experience (TriZetto, Waystar)