AGM / GM - Coding Operations

ECLAT Health Solutions; Navi Mumbai; On-site; INR 1,800,000 - 3,200,000; Full time

Job summary

ECLAT Health Solutions in Mumbai invites an experienced leader to drive large-scale medical coding operations for US healthcare clients. You will oversee multispecialty teams across E/M, Surgery, Endoscopy, Denials, IVR and Pathology, ensuring high quality, compliance, and on-time delivery.

You will champion workforce planning, productivity, quality governance, and SLA adherence, develop workflow improvements, prevent denials, and partner with clients and executives to scale service delivery and

Qualifications

• Experience leading large-scale medical coding operations.
• Strong knowledge of US healthcare coding guidelines and compliance.
• Proven ability to manage multispecialty coding teams and SLAs.

Responsibilities

• Lead large-scale medical coding operations for US healthcare clients.
• Direct multispecialty coding teams across E/M, Surgery, Endoscopy, ED Profee, Denials, IVR, Ancillaries, and Pathology.
• Drive workforce planning, productivity management, and SLA adherence.
• Implement workflow improvements and denial prevention strategies.
• Collaborate with clients and cross-functional teams to resolve operational challenges.
• Lead recruitment, onboarding, and performance management across coding ops.

Skills

Medical Coding Leadership

US Healthcare Knowledge

Denials Management

Quality Governance

Workforce Planning

Job description

We are looking for experienced leaders to drive large-scale Medical Coding Operations.

Preferred Specialty Exposure:

• Profee Surgery / Endoscopy
• E&M + Surgery
• E&M IP
• E&M OP
• ED Profee
• Denials
• IVR
• Observation
• Ancillaries
• Radiation Oncology
• Pathology

• Manage large-scale Medical Coding Operations for US Healthcare clients, ensuring compliance with coding guidelines, regulatory standards, and client expectations.

• Lead multispecialty coding teams across E&M, Surgery, Endoscopy, ED Profee, Denials, IVR, Ancillaries, Observation, Pathology, and Radiation Oncology.

• Drive operational excellence through effective workforce planning, productivity management, quality governance, and SLA adherence.

• Develop and implement workflow improvements, quality initiatives, and denial prevention strategies to optimize coding accuracy and revenue realization.

• Collaborate with clients, business leaders, and cross-functional teams to resolve operational challenges, improve service delivery, and support business growth.

• Lead recruitment, onboarding, capability development, succession planning, and performance management across coding operations.

• Manage client governance, escalations, business reviews, and stakeholder engagement while ensuring high levels of customer satisfaction.

• Drive revenue management, capacity planning, operational forecasting, process transitions, and continuous improvement initiatives.

• Ensure timely project delivery while maintaining quality, compliance, productivity, and operational benchmarks.

Location: Mumbai (Work from Office)