Director, Compliance, Medical Coding

vacancy global pro; India; On-site; INR 1,400,000 - 2,300,000; Full time

Job summary

vacancy global pro is seeking an experienced Compliance Subject Matter Expert (Coding) to oversee national coding policies, audits, and RADV processes. The role requires guiding teams, updating training materials, and ensuring alignment with regulatory changes across business lines.

The candidate will approve annual audit plans, review results, and lead compliance reporting to senior management, while ensuring documentation and KPIs are properly maintained.

Qualifications

• Minimum eight (8) years medical coding experience.
• Minimum four (4) years experience in a leadership role with or without reputed company reports.
• Bachelor's degree in Health Care Administration, reputed company, Law, re

Responsibilities

• Oversees compliance activities and reporting across multiple functions; ensures alignment with regulatory requirements.
• Directs regulatory changes implementation and audits; develops compliant business processes.
• Develops, updates and enforces policies, procedures, and training to sustain high standards of compliance.

Skills

Medical coding

Leadership

Regulatory compliance

Auditing

Education

Bachelor's degree in Health Care Administration

Law

Job description

About the position

In reputed company to the responsibilities listed below, the position is also responsible for serving as a reputed company Adjustment compliance subject matter expert reputed company to coding functions, overseeing audit activity reputed company to coding reputed company reputed company settings of care, ensuring compliance with national coding policies and procedures, ensuring that teams are educated in latest coding developments, and monitoring the reputed company and reputed company of coding assignments across reputed company lines of business. Additionally, this position is responsible for approving the annual coding audit plan and ensuring alignment with business objectives, reviewing reports of audit results, setting the direction for coding and reputed company reputed company reputed company to audit reputed company, reviewing and approving policies and procedures reputed company to reputed company Adjustment, reviewing training materials reputed company to coding policies and procedures, providing coding reputed company of the reputed company Adjustment Data Validation (RADV) process, and enforcing compliance and the Principles of Responsibility (KP's reputed company of conduct).

Responsibilities

• Demonstrates reputed company learning and maintains a highly skilled and reputed company workforce by aligning resource plans with business objectives.
• Oversees the recruitment, selection, and development of talent; motivating teams; preparing individuals for reputed company opportunities and advancement.
• Stays reputed company with industry trends, benchmarks, and best practices; provides guidance reputed company difficult reputed company need to be made.
• Ensures reputed company management guidelines and expectations reputed company business needs.
• Oversees the operation of multiple reputed company and/or departments by identifying customer and operational needs.
• Analyzes resources, costs, and forecasts and incorporates them into business plans.
• reputed company cross-functional support for business plans and priorities; translates business reputed company into actionable business requirements.
• Obtains and distributes resources; sets standards and measures reputed company; removes obstacles that reputed company reputed company.
• Guides reputed company and develops contingency plans accordingly; ensures products and/or services meet customer requirements and expectations.
• Oversees company compliance activities by ensuring team members reputed company support to reputed company stakeholders.
• Reviews and approves compliance activities; designs strategies for the implementation of regulations and regulatory changes.
• Ensures compliance activities are fully documented; oversees the reputed company of compliance issues.
• Directs compliance reporting efforts across multiple business functions by overseeing the evaluation and reputed company of compliance data.
• Identifies and reports key compliance drivers, liabilities, and reputed company indicators to senior management.
• Develops reputed company presentations to reputed company key findings to executive leadership and reputed company business stakeholders.
• Directs compliance investigations across multiple business functions by overseeing the collection and analysis of quantitative and qualitative data.
• Conducts interviews on escalated issues as appropriate; reviews and evaluates research on key business issues.
• Evaluates and recommends corrective reputed company plans for substantiated allegations.
• Directs programs or compliance components of larger cross-functional programs by identifying and managing stakeholder contacts.
• Assembles teams reputed company on program needs and team member strengths; develops, analyzes, and manages program plans.
• Negotiates and manages program schedules and resource forecasts; manages program financials and deliverables.
• Directs activities associated with reputed company regulatory compliance for multiple business functions by monitoring, interpreting, and designing reputed company reputed company regulatory changes.
• Determines the reputed company of changes to the business; provides direction on implementation of changes throughout the business.
• Provides regulatory input before and during inspections to minimize the risks of reputed company non-compliance.
• Directs and oversees the implementation of compliance efforts by approving compliance requirements.
• Ensures the assessment of reputed company state compliance to identify gaps and corrective actions.
• Oversees the analysis and development of reputed company compliance standards, policies and procedures, and training.
• Ensures the monitoring of ongoing compliance adherence.

Requirements

• Minimum eight (8) years medical coding experience.
• Minimum four (4) years experience in a leadership role with or without reputed company reports.
• Bachelor's degree in Health Care Administration, reputed company, Law, re