Job Opening For Assistant Manager Operations Into Coding Validation

Job opening at Cotiviti for Assistant Manager Operations for Coding Validation (Must be CPC Certified)

General Summary:

We are currently seeking an assistant manager to manage Coding Validation program. His/her

Primary responsibility will be to support and monitor day-to-day work processes and meet production and Service Level Agreements. Assessing and forecasting staffing requirements based on client communication and incoming volume. Should coach team members in achieving team deliverables and escalate appropriately and as needed. Monitor activities of team members; provide feedback and counsel team members regarding performance, timekeeping, and personnel issues.

Principal Duties/ Responsibilities:

Program Management

• Overall program performance (productivity and quality)
• Implementation support
• SLA delivery
• Internal reports sign off
• Create and maintain internal report trackers

Client Management

• Attending internal & external check-in calls regularly
• Effective internal & client communication
• Timely, complete and accurate response to e-mails

People Management

• Optimum staff utilization
• Identify team members with gaps (either productivity or quality) and discuss the next course of action with the supervisor
• Effectively delegate, monitor & mentor support staff (supervisors & QAs)
• Team building

Process Improvement & Initiatives

• Process enhancements (measurable)
• Data analytics

Leave Planning & Attrition

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• Ensure availability of production resources based on requirements
• Have low attrition levels and attempt retention

Educational requirement:

• Medical degree (MBBS or BAMS or BHMS or B.P.Th) with CPC certification
• OR Bachelors degree in any stream (preferably Life Science) with CPC certification

Experience requirements:

• Minimum 5 years of experience in medical coding/ US Healthcare operations and minimum 2 years of experience as a Team Leader.
• Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred.
• Possesses knowledge of healthcare claims payment policy and processing specifically CMS, Medicaid regulations, AAOS, ICD-9, CPT & HCPCS, etc.
• Practical clinical experience working in a hospital/office or nursing home strongly preferred.
• Has general knowledge of medical procedures, conditions, illnesses and treatment practices
• Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency