Director of Coding New

ASP-RCM Solutions; Chennai District; Sur place; INR 1 500 000 - 2 100 000; Plein temps

Résumé du poste

ASP-RCM Solutions in Chennai, India, seeks a senior medical coding leader to own the coding quality standard, ensure audit readiness, and govern human-in-the-loop AI processes across multiple specialties including behavioral health, hospital, physician services, ASC, dental and risk adjustment.

You will build and scale coding teams, maintain guideline currency, and drive throughput and capacity planning while defending coding decisions in payer or RADV audits.

Qualifications

• MANDATORY: active AAPC or AHIMA coding certification (CPC, COC, CIC, CPMA, CRC, CCS, CCS-P, RHIA or RHIT) and current maintenance.
• Twelve or more years in medical coding with at least five leading coding teams at scale.
• Multi-specialty depth: hospital inpatient/outpatient, physician services, behavioral health/ABA, ASC, dental or HCC risk adjustment.
• Built and run a coding QA program with a defensible sampling methodology.
• Has defended coding decisions in a real payer or RADV audit and can walk through resolution.

Responsabilités

• Hold the coding quality standard
• Audit readiness and defense
• Human-in-the-loop AI governance
• Capacity and throughput
• Coder development
• Guideline currency

Connaissances

AAPC AHIMA certification

Medical coding experience

Team leadership

Coding QA program

RADV payer audit experience

CPT ICD-10-CM HCPCS NCCI MUE

Description du poste

You own coding at ASP-RCM: the quality standard, the compliance posture, the capacity plan and the people who deliver it. Our coders work across behavioral health and ABA, hospital inpatient and outpatient, physician services, ASC, dental and HCC risk adjustment, supported by ASP AI Engine, our autonomous coding engine. Your job is to hold a coding accuracy standard of 95 percent or better on audited output, keep us defensible in any payer or RADV audit, and build coders who get better every quarter.

What you will own: The coding quality standard; Audit readiness and defense; Human-in-the-loop AI governance; Capacity and throughput; Coder development; Guideline currency

What you will own

• The coding quality standard
• Audit readiness and defense
• Human-in-the-loop AI governance
• Capacity and throughput
• Coder development
• Guideline currency

What we look for: MANDATORY: active AAPC or AHIMA coding certification (CPC, COC, CIC, CPMA, CRC, CCS, CCS-P, RHIA or RHIT), current and maintained; Twelve or more years in medical coding with at least five leading coding teams at scale; Multi-specialty depth: two or more of hospital inpatient and outpatient, physician services, behavioral health and ABA, ASC, dental or HCC risk adjustment; Built and run a coding QA program with a defensible sampling methodology, not spot checks; Has defended coding decisions in a real payer or RADV audit and can walk through how it was resolved; Fluent in CPT, ICD-10-CM, HCPCS, NCCI PTP and MUE edits, and modifier discipline

What we look for

• MANDATORY: active AAPC or AHIMA coding certification (CPC, COC, CIC, CPMA, CRC, CCS, CCS-P, RHIA or RHIT), current and maintained
• Twelve or more years in medical coding with at least five leading coding teams at scale
• Multi-specialty depth: two or more of hospital inpatient and outpatient, physician services, behavioral health and ABA, ASC, dental or HCC risk adjustment
• Built and run a coding QA program with a defensible sampling methodology, not spot checks
• Has defended coding decisions in a real payer or RADV audit and can walk through how it was resolved
• Fluent in CPT, ICD-10-CM, HCPCS, NCCI PTP and MUE edits, and modifier discipline