Operations Manager-Medical Coding-Indore

Annova Solutions India

Indore District

On-site

INR 1,500,000 - 2,100,000

Full time

6 days ago
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Job summary

Annova Solutions India is seeking an Operations Manager/Senior Operations Manager to lead day-to-day medical coding operations, ensuring productivity, quality, and client SLA delivery. You will manage large teams, optimize performance, and serve as a key link between senior leadership and operations.

Responsibilities include driving productivity, monitoring SLAs, maintaining HIPAA compliance, and leading continuous improvement initiatives.

Qualifications

  • Bachelor’s degree in Life Sciences, Healthcare, Pharmacy or Nursing.
  • Master’s degree in healthcare management, Hospital Administration, or Business Administration (MBA) preferred.
  • Medical Coding certification (CPC / CCS / CIC) preferred.

Responsibilities

  • Own complete delivery of assigned medical coding processes/accounts across shifts and locations.
  • Translate client SLAs, quality benchmarks, and productivity targets into daily execution plans.
  • Ensure uninterrupted operations through manpower planning, workload distribution, and shift coverage.
  • Monitor volumes, backlogs, and capacity to proactively mitigate delivery risks.
  • Act as the primary operational escalation point and ensure timely resolution of delivery issues.
  • Drive achievement of productivity, accuracy, and utilization targets in line with business plans.
  • Monitor SLA, TAT, and throughput metrics to prevent revenue leakage and penalties.
  • Identify cost optimization opportunities through staffing, cross-skilling, and utilization control.
  • Support budget adherence by managing overtime, shrinkage, and resource allocation.
  • Ensure strict adherence to coding guidelines (ICD-10-CM, CPT, HCPCS) and client-specific rules.
  • Review audit scores, error trends, defect leakage, and rework analysis; drive targeted coaching.
  • Partner with Quality and Training teams to drive calibration and training sessions.
  • Implement CAPA plans to sustain quality improvements; ensure HIPAA compliance and data security.
  • Support audits; ensure timely closure of audit observations.
  • Participate in client calls, governance reviews, and operational discussions.
  • Prepare and present MIS, dashboards, and performance narratives to clients and leadership.
  • Manage day-to-day client expectations and ensure transparency in delivery updates.
  • Handle operational escalations professionally and maintain client confidence.
  • Support new client onboarding, scope changes, and transition activities.
  • Lead, mentor, and develop Team Leads, Assistant Managers, and frontline supervisors.
  • Conduct regular reviews, coaching, and capability assessments.
  • Drive employee engagement and retention initiatives.
  • Identify training needs and coordinate with Training teams for skill enhancement.
  • Assist in hiring, onboarding, and certification planning for coding teams.

Skills

Leadership
People management
Stakeholder management

Education

Bachelor’s degree in Life Sciences/Healthcare/Nursing
Master’s degree in Healthcare Management/MBA preferred
Medical Coding certification (CPC/CCS/CIC) preferred

Job description

Job Description:

Role Summary

The Operations Manager / Senior Operations Manager is responsible for leading day-to-day medical coding operations, ensuring delivery excellence across productivity, quality, compliance, and client SLAs. The role involves managing large teams, improving performance, and acting as a key link between senior leadership and operations teams.

Key Responsibilities
1. End-to-End Operational Ownership
  • Own complete delivery of assigned medical coding processes/accounts across shifts and locations
  • Translate client SLAs, quality benchmarks, and productivity targets into daily execution plans
  • Ensure uninterrupted operations through effective manpower planning, workload distribution, and shift coverage
  • Monitor volumes, backlogs, and capacity to proactively mitigate delivery risks
  • Act as the primary operational escalation point and ensure timely resolution of delivery issues
2. Productivity, SLA & Financial Control
  • Drive achievement of productivity, accuracy, and utilization targets in line with business plans
  • Monitor SLA, TAT, and throughput metrics to prevent revenue leakage and penalties
  • Identify cost optimization opportunities through efficient staffing, cross-skilling, and utilization control
  • Support budget adherence by managing overtime, shrinkage, and resource allocation.
3. Quality & Compliance Management
  • Ensure strict adherence to ICD-10-CM, CPT, HCPCS, payer-specific, and clientdefined coding guidelines
  • Review audit scores, error trends, defect leakage, and rework analysis on a continuous basis
  • Partner with Quality and Training teams to drive targeted coaching, refresher training, and calibration sessions
  • Implement and track Corrective and Preventive Action (CAPA) plans to sustain quality improvements
  • Ensure compliance with HIPAA, PHI handling, and internal data security policies
  • Support internal, external, and client audits; ensure timely closure of audit observations
4. Client & Stakeholder Engagement
  • Participate in regular client calls, governance reviews, and operational discussions
  • Prepare and present accurate MIS, dashboards, and performance narratives to clients and leadership
  • Manage day-to-day client expectations and ensure transparency in delivery updates
  • Handle operational escalations professionally and maintain high client confidence
  • Support new client onboarding, scope changes, and transition activities
5. People Leadership & Workforce Management
  • Lead, mentor, and develop Team Leads, Assistant Managers, and frontline supervisors
  • Conduct regular performance reviews, coaching sessions, and capability assessments
  • Drive employee engagement, motivation, and retention initiatives
  • Identify training needs and coordinate with Training teams for skill enhancement
  • Support hiring, onboarding, and certification planning for coding teams
  • Build a strong succession pipeline and promote internal talent growth
6. MIS, Analytics & Governance
  • Review daily, weekly, and monthly operational MIS and dashboards
  • Analyze trends across quality, productivity, attrition, and utilization
  • Provide data-driven insights and action plans to senior leadership
  • Ensure accuracy, consistency, and timeliness of reporting
7. Process Excellence & Continuous Improvement
  • Identify opportunities for process simplification, standardization, and efficiency improvement
  • Lead continuous improvement initiatives using Lean, Six Sigma, or best-practice frameworks
  • Ensure SOPs, workflows, and process documentation are current and followed
  • Collaboration with Technology teams for automation and tool-based improvements
8. Risk Management & Business Continuity
  • Identify operational, quality, and compliance risks proactively
  • Develop mitigation plans to ensure delivery continuity during high volumes or attrition
  • Support business continuity planning and disaster recovery readiness
Requirements
Eligibility & Experience:
  • Bachelor’s degree in Life Sciences, Healthcare, Pharmacy or Nursing.
  • Master’s degree in healthcare management, Hospital Administration, or Business Administration (MBA) preferred.
  • Medical Coding certification (CPC / CCS / CIC) preferred.
  • 10+ years of experience in US Healthcare / Medical Coding operations.
  • 3-6+ years in a managerial role such as OM / SOM/AM.
  • Proven experience managing large-scale, multi-client medical coding operations.
  • Demonstrated capability in leading 150+ FTE organizations through multi-layer leadership structures

Requirements:

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