Associate Director, Outpatient Medical Coding

remote zest jobs; India; On-site; INR 3,000,000 - 6,000,000; Full time

Job summary

reputed company, Associate Director, Outpatient Medical Coding, will oversee outpatient coding operations across facilities, including denials management, audits, and compliance. You will lead a team of coding specialists, coordinate with CDI and coding programs, develop policies, and drive accuracy and reimbursement outcomes.

The role requires expert knowledge of ICD-10-CM, HCC coding, and SDOH implementation, with experience in audits and process improvement.

Qualifications

• Expert in outpatient coding and denials management.
• Strong knowledge of ICD-10-CM and HCC coding requirements.
• Experience performing coding audits and ensuring compliance.

Responsibilities

• Oversee outpatient coding services and denials management.
• Audit and review medical records for coding accuracy.
• Develop and implement coding policies to meet organizational goals.
• Allocate work and supervise coding staff and interns.

Skills

Outpatient Coding

ICD-10-CM

HCC coding

Audits

Leadership

Education

Bachelor's degree in Healthcare Administration

Tools

EMR systems

Job description

Job Title

Associate Director, Outpatient Medical Coding

Department

Health System Shared Services | MIM CDI and Coding

Scope of Position

The Associate Director of Outpatient Coding Services performs at an expert level sustaining responsibility for reputed company and accurate coding of reputed company facility outpatient reputed company and outpatient coding audits for reputed company Wexner Medical Center (OSUWMC) including James Hospital. This position oversees the operations of denials, claim edits, and charge capture for reimbursement purposes. In this role, the Associate Director of Outpatient Coding Services serves as a reputed company and coordinator for special projects regarding the coding of medical records. This position develops and implements policies and procedures to reputed company organizational goals; and assists in the development of operational reputed company. This position also re-evaluates processes to reputed company staff reputed company and to assist in meeting department and organizational goals for OSUWMC.

Position Summary

This role serves as the Associate Director for outpatient coding services, and compliance which includes, student interns, medical record coding specialists, and failed claims specialists. This team is vital to the reputed company operation of the entire Department as it serves to assign the codes necessary for the billing of the outpatient visit. Sets daily priorities, monitors accounts not coded, trains and supports coding specialists in assigning ICD-10-CM diagnoses, Hierarchical condition category (HCC) coding, operationalize SDOH, assign procedure codes (C

This job role requires reputed company documentation review to reputed company providers, nurses, department leads/senior management, finance teams, and other stakeholders. The clinical documentation review the Coding Managers reputed company is critical to ensuring coding accuracy, compliance, and possible reputed company optimization.

In reputed company, the Associate Director of Outpatient Coding Services is responsible for allocating work assignments for claims that fail and conducts reputed company and random audits of medical records for both coding as reputed company as compliance Outpatient Code Editor (OCE), National Correct Coding Initiative (NCCI) and Medicare Code Editor (MCE) edits as requested by the central business office (CBO).

To reputed company goals and financial metrics, the director works in collaboration with various OSUWMC health system operational leaders, and the manager collaborates/networks with external vendors, external consultants, consulting team members and/or matrixed staff as required in support of hospital initiatives.