Operations Manager - Medical coding

Cotiviti; Pune District; On-site; INR 2,500,000 - 4,200,000; Full time

Job summary

Cotiviti in Pune, India is seeking a Manager to lead Medical Coding programs. The role focuses on day-to-day oversight, ensuring production and SLA targets are met, forecasting staffing needs, and coaching team members to achieve deliverables.

The ideal candidate has CPC certification, strong knowledge of HCPCS/ICD/CPT/DRG, and 8–10 years in E&M coding with 3–5 years in management. Travel and night shifts may be required.

Qualifications

• Graduation in Life Science preferred.
• In-depth knowledge of human anatomy and medical terminologies.
• CPC certification with knowledge of HCPCS, ICD, CPT, and DRG preferred.
• Minimum 8-10 years of experience in E&M coding and minimum 3-5 years of experience as a Manager.

Responsibilities

• Project Transition and Stability
• People Readiness: Ensure timely completion of resource planning and hiring
• Creating training manual and SOP
• Process Changes and Enhancements
• SLA's delivery
• Business Health and SLAs
• Baseline performance thresholds- Establish and periodically revisit performance thresholds
• Ensure all SLAs are met
• Ensure all budgets are met
• Process Improvement & Team Management
• Process Changes and Enhancements
• Reduce operational costs, Healthier Margins
• Identify single points of failure. Create back-up
• Development of second and third-line leader
• Process enhancements (measurable)
• Data Analytics
• Talent Engagement & Development
• Talent Acquisition
• Performance Management
• Talent Engagement & Development

Skills

Medical coding

People management

Staff forecasting

Coaching

Education

Bachelor's degree in Life Science

CPC certification (AAPC)

Job description

POSITION DESCRIPTION

JOB TITLE: Manager

PRINCIPAL PURPOSE OF THE JOB

We are currently seeking a manager to manage Medical Coding programs.

His/her Primary responsibility will be to support and monitor day-to-day work processes and meet production and Service Level Agreements. Assessing and forecasting staffing requirements based on client communication and incoming volume. Should coach team members in achieving team deliverables and elevate appropriately and as needed. Monitor activities of team members; provide feedback and counsel team members regarding performance, timekeeping, and personnel issues.

JOB RESPONSIBILITIES

• Project Transition and Stability
• People Readiness: Ensure timely completion of resource planning and hiring
• Creating training manual and SOP
• Process Changes and Enhancements
• SLA's delivery
• Business Health and SLAs
• Baseline performance thresholds- Establish and periodically revisit performance thresholds
• Ensure all SLAs are met
• Ensure all budgets are met
• Process Improvement & Team Management
• Process Changes and Enhancements
• Reduce operational costs, Healthier Margins
• Identify single points of failure. Create back-up
• Development of second and third-line leader
• Process enhancements (measurable)
• Data Analytics
• Talent Engagement & Development
• Talent Acquisition
• Performance Management
• Talent Engagement & Development

RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS

• Graduation in Life Science preferred
• In-depth knowledge of human anatomy and medical terminologies
• Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC), with knowledge of HCPCS, ICD, CPT, and DRG preferred
• Minimum 8-10 years of experience in E&M coding and minimum 3-5 years of experience as an Manager

JOB DEMANDS

• Flexibility to travel based on business needs is preferred
• Ability to work seated at a computer for long periods
• Candidate should be ready to work different shifts, including night shift

KEY CONSTITUENTS

• Works with all Cotiviti business teams but especially the Medical Coding team.