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IKS Health - AVP - Medical Coding

IKS Health - AVP - Medical Coding

Inventurus Knowledge Solutions LimitedHyderabad, India
6 days ago
Job description

Profile Description :

The AVP of Coding will be responsible for ensuring that the Sites operations of IKS Coding meet or exceed client requirements and are operationally efficient. It is critical that we quickly ramp to scale and establish industry wide best practices across the coding services. This role will lead the site for the coding Line of Business.

Key Accountable for delivery of operations as per SLAs for all accounts aligned to them.

  • Responsible for managing end to end transitions and migrations of new accounts
  • Collaborate with the Client and the Client services team towards efficient execution of Operations and the business.
  • Ensure governance and smooth functioning of Operations as well as with clients, through daily calls and meets, Weekly / Monthly / Quarterly reviews
  • Bring about Process Improvement to overcome identified gaps in the process.
  • Manage the Budgeted Headcount to the optimum capacity.
  • Responsible for final invoices and accuracy of invoices of his / her account(s)
  • WFM : Maintain Detailed Capacity Plan at account level
  • Data Analysis : Prepare Collective Dashboard and conduct cross Functional analysis of Quality data, RVU, and Coding for Client Calls.
  • Collaborate with sales in building the business and to design new offerings.
  • Ensure focus and execution of the key measurements for the role and i.e. Revenue, Gross Margin, and Customer Satisfaction
  • Contribute to the development of short and long term strategies operational goals.
  • Should be able to guide operations on functional aspects of coding and endeavor to improve coding standards in the team.
  • Ensure best in class Operations : Create and manage operational frameworks to deliver high quality work in the field of medical coding.
  • Liaison with internal stakeholders
  • Work with delivery leaders to launch and lead six sigma quality projects across IKS Coding
  • Responsible for new developments (in discussion with Practice team) across coding
  • Accountable for managing headcount optimization across all accounts in consultation with the PL / AVPs and ensure resources are Provide functional support and direction to the team.
  • Boost the morale of the employees and develop a work environment based on equity and meritocracy
  • Maintain fairness in the performance management system and create an environment of guidance, mentoring and development of teams.
  • Review whether the training needs of all operation employees identified and training is imparted to develop the level of employees as expected
  • Accountable for the performance management and improvement of the Bottom Quartile employees
  • Accountable for overall people engagement in coding
  • Responsible for assessing hiring requirements across levels in discussion with WFM.
  • Responsible for hiring decisions based on headcount / P&L and planning of supervisor / leadership for the FY based on budgets.
  • Work on attrition mitigation plan for the vertical
  • Define career paths and development goals for every individual in the team.
  • Ensuring a Learning culture through constant training needs identification, training program coverage at all levels as per development plans for his / her account / department designed in the Career Architecture.
  • Ensuring that all programs planned for Self Development are Accountable for preparing dashboards / reports for the client and senior management
  • Work with client services and ML's to create new solutions for existing or new accounts
  • Responsible for partnering in the implementation / transition of new accounts.
  • Ensure all new accounts are implemented based on agreed timelines in discussion with the client(s)
  • Manage high Customer Satisfaction Accountable for overall P&L for the vertical, revenue forecasts, budgeting, and liaising with market leaders on new / existing SOWs, implementation of COLA, minimum billing clauses.

Functional Strong expertise on ICD -10 and CPT with any of the specialties would be preferred.

  • Deep understanding of the coding guidelines with the ability to provide supervision on quality reviews to the delivery team.
  • Detailed understanding of the end to end RCM cycle related to US healthcare and related key areas of measuring success would be preferred.
  • Ability to Lead, guide and mentor large delivery teams.
  • Familiarity with clinical documentation coding
  • Should be flexible in travelling within India as well as to the US.
  • Client Management Skills
  • Good Governance and Process Improvement ability
  • Good knowledge and experience of handling P&Ls and Budgets at an account level
  • Education & Should be a graduate from any field.

  • AHIMA / AAPC certification is a must.
  • BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science would be preferred.
  • MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantage.
  • 12+ years experience in running core coding operations including having significant experience in coding audits, workflow assessments, onsite and remote client management is a must.
  • Experience of managing and working on P&L of the business OR account is a must.
  • ref : iimjobs.com)

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