Senior Manager - Medical Coding (Business Transformation)

Logixhealth; Bengaluru; On-site; INR 2,400,000 - 4,200,000; Full time

Job summary

Logixhealth in Bengaluru, India seeks a Senior Manager – Business Transformation with 13+ years in Healthcare RCM/Medical Coding to lead Training, Process Excellence, Risk Management and Program Management. You will build competencies, governance, and capability across coding teams with measurable improvements.

Role emphasizes structured analytics, data-driven decision making, and strategic leadership for large teams.

Qualifications

• 13–18 years of overall experience in Healthcare RCM / Medical Coding operations.
• Minimum 5 years of hands-on coding experience in E&M and Emergency Department (professional and facility).
• Minimum 2 years of leadership experience managing teams at a manager level or above.
• Experience managing operational governance, training frameworks, and improvement initiatives.
• Proven experience working with internal and external stakeholders.

Responsibilities

• Design and implement Learning & Development strategies and training programs.
• Lead, coach, and manage the trainer team and assess training needs.
• Drive process excellence initiatives to improve efficiency and quality using data and audits.
• Oversee risk management, OA audits, compliance reviews, and quality governance.
• Plan, coordinate, and monitor programs and projects with governance dashboards and reporting.

Skills

Leadership

Training management

Process excellence

CI initiatives

Governance

Operational metrics

Data-driven decision making

Strategic thinking

Job description

Job Description Senior Manager – Business Transformation

Seeking an experienced Medical Coding Leadership candidate with 13+ years of overall experience, including strong operational leadership in Medical Coding & Process Excellence Role.

Job Purpose

This is a multidisciplinary role involving Training Management, Process Excellence / Continuous Improvement (CI) initiatives, Risk Management (including OA audits), and Program Management. The role will drive governance, operational excellence, and capability building across coding teams while ensuring compliance and measurable operational improvement.

Duties and Responsibilities

1. Learning & Development / Training Management

• Design and execute effective L&D strategies.
• Lead, coach, and manage the trainer team.
• Assess training needs, develop modules, deliver programs, and measure impact to continuously improve effectiveness.
• Personally deliver coding training when required.
• Establish competency frameworks and certification mechanisms for coding teams.

2. Process Excellence & Continuous Improvement

• Lead process excellence initiatives and CI projects to improve operational efficiency and quality.
• Identify improvement opportunities using data, audits, and operational metrics.
• Drive root cause analysis and implement sustainable corrective actions.
• Partner with operations teams to standardize processes and implement best practices across teams.

3. Risk Management & Compliance

• Identify and analyze risks affecting coding operations and collaborate with stakeholders on mitigation planning and implementation.
• Manage Operational Assurance (OA) audits, compliance reviews, and quality governance.
• Ensure adherence to regulatory standards, internal SOPs, and coding compliance frameworks.

4. Program & Project Management

• Lead organizational initiatives across departments, ensuring alignment with business objectives.
• Plan, coordinate, and monitor operational projects to ensure deliverables meet defined scope, timelines, and quality standards.
• Track project progress through governance forums, dashboards, and structured reporting.

Experience

• 13 – 18 years of overall experience in Healthcare RCM / Medical Coding operations.
• Minimum 5 years of handson coding experience in E&M and Emergency Department (professional and facility).
• Minimum 2 years of leadership experience managing teams in a manager role or above.
• Experience managing operational governance, training frameworks, and improvement initiatives.
• Proven experience working with internal and external stakeholders.

Role Expectations

1. Demonstrate Structured Analytical Thinking

• Approach scenario-based questions using a structured framework (Situation Analysis Action Outcome).
• Explain how the problem is diagnosed, not just the action taken.
• Clearly describe root cause analysis methods such as 5 Whys, Fishbone analysis, and trend analysis.

2. Emphasize Governance and Process Frameworks

• Be prepared to explain coding quality governance models such as audit frameworks, QA checkpoints, error tracking, and compliance monitoring.
• Describe how governance is maintained through SOPs, dashboards, escalation matrices, and periodic reviews.
• Explain how to ensure process standardization across large teams.

3. Highlight Operational Metrics and Data-Driven Decision Making

Clearly articulate key operational health metrics, such as:

• Productivity
• Quality / Error Rate
• Turnaround Time (TAT)
• Utilization
• SLA Adherence

Demonstrate how these metrics are tracked, analyzed, and used for improvement through dashboards and reporting.

4. Showcase Risk Monitoring and Control Mechanisms

• Explain proactive risk monitoring practices including early warning indicators, audit findings, and exception tracking.
• Describe how risks are identified, assessed, mitigated, and reported through governance forums.

5. Provide Clear Examples of Continuous Improvement Initiatives

Share specific projects where operational improvements were implemented, including:

• Problem identified
• Initiative implemented
• Metrics improved
• Quantifiable results (e.g., quality improved by X%, TAT reduced by Y%)

6. Explain Training Effectiveness Measurement

Be prepared to explain how training impact is measured through:

• Pre- and post-training assessments
• Quality score improvements
• Productivity improvements
• Reduction in error trends
• Certification or competency frameworks

7. Demonstrate Strategic Leadership for Large Teams

Provide examples of managing large teams with structured governance, including:

• Weekly / monthly operational reviews
• Performance dashboards
• Leadership reporting
• Action tracking and accountability

8. Move Beyond Transactional Management

Focus on demonstrating strategic thinking, not just daily task management.

Show how decisions are driven by:

• Data insights
• Long-term operational planning
• Performance trends and governance reviews.