Associate Vice President – Medical Coding

r3 Consultant; Maharashtra; On-site; INR 5,400,000 - 6,600,000; Full time

Job summary

r3 Consultant is seeking an Associate Vice President - Medical Coding in Pune to lead end-to-end coding operations across multiple specialties. Candidates should bring 15+ years in medical coding/RCM and 5+ years in leadership, with B.S./paramedical degrees and CPC/CCS/COC credentials.

The role offers senior leadership responsibilities, client governance participation, and a focus on process improvements, ROI, and compliance. Notice period 30-45 days and up to ₹60 LPA CTC. WFO in Pune.

Qualifications

• ICD-10, CPT/E&M & Pathology/Lab Coding expertise
• Medical Terminology & Anatomy/Physiology knowledge
• Certified Coder credential (CPC/CCS/COC)
• Denial Management & Pre-adjudication coding
• Coding Audits & Quality Review supervision

Responsibilities

• Lead and manage end-to-end medical coding operations, including denial and pre-adjudication coding across multiple specialties
• Supervise, train, and mentor coding teams while ensuring compliance with AMA guidelines, payer policies, and coding certifications
• Drive client and stakeholder relationships, resolve service delivery issues, implement process improvements to enhance ROI and workflow efficiency
• Establish operational frameworks, best practices, and QA loops between delivery, training, and compliance functions
• Own P&L-adjacent delivery metrics: productivity, quality (accuracy %), TAT, client SLAs
• Represent coding operations in client governance calls and QBRs

Job description

Job Title: Associate Vice President - Medical Coding

Location: Pune

Work Mode: WFO (Work From Office)

Experience: 15+ years in medical coding / RCM operations, incl. 5+ yrs in a leadership role managing multi-specialty coding teams

Education: Life Sciences/Paramedical graduate (B.Sc/B.Pharm/BAMS/BHMS/Nursing or equivalent); Certified Coder credential mandatory (CPC/CCS/COC - AAPC or AHIMA)

CTC: Up to ₹60 LPA

Notice Period: 30-45 days

Roles & Responsibilities

• Lead and manage end-to-end medical coding operations, including denial and pre-adjudication coding across multiple specialties
• Supervise, train, and mentor coding teams while ensuring compliance with AMA guidelines, payer policies, and coding certifications
• Drive client and stakeholder relationships, resolve service delivery issues, implement process improvements to enhance ROI and workflow efficiency
• Establish operational frameworks, best practices, and QA loops between delivery, training, and compliance functions
• Own P&L-adjacent delivery metrics: productivity, quality (accuracy %), TAT, client SLAs
• Represent coding operations in client governance calls and QBRs

Mandatory Skills

• ICD-10, CPT/E&M & Pathology/Lab Coding expertise
• Medical Terminology & Anatomy/Physiology knowledge
• Certified Coder credential (CPC/CCS/COC)
• Denial Management & Pre-adjudication coding
• Coding Audits & Quality Review supervision

Good to Have

• Laboratory coding experience
• Coding software tools (3M Encoder, TruCode)
• Healthcare reimbursement & payer policy familiarity
• Data analytics for coding performance
• Regulatory compliance knowledge (HIPAA, OIG)

Mandatory Soft Skills

• Leadership & people management
• Client relationship and stakeholder management
• Process improvement / operational excellence mindset
• Effective communication & training abilities

Good to Have Soft Skills

• Change management
• Strategic planning
• Presentation and negotiation skills
• Business development orientation