Team Lead - Medical Coding (Denials / E&M / ED Profee / Pathology / An

ECLAT Health Solutions; Navi Mumbai; On-site; INR 1,800,000 - 3,000,000; Full time

Job summary

ECLAT Health Solutions in Mumbai is seeking an experienced Team Lead for Medical Coding Operations. The role focuses on leading coding teams, audits, and process improvements to meet productivity and quality targets.

The ideal candidate has 8+ years in US Medical Coding with leadership experience, strong ICD-10-CM/CPT knowledge, and a track record of client escalations management. This is a work-from-office role in Mumbai.

Qualifications

• 8+ years of US Medical Coding experience.
• Prior experience as Team Lead / Senior Team Lead / SME / QA Lead.
• Strong experience in one or more of the listed specialties.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and coding guidelines.
• Experience in productivity management, quality governance, and client escalations.
• CPC, CCS, COC, CIC or equivalent certification preferred.

Responsibilities

• Lead and manage coding teams to deliver productivity, quality, and SLA targets.
• Review coding quality, perform audits, and drive corrective action plans.
• Handle coding escalations and provide guidance to team members.
• Monitor daily productivity, TAT, and quality metrics.
• Conduct team huddles, coaching sessions, and performance reviews.
• Collaborate with Operations, Quality, and Client teams to improve delivery performance.
• Train and mentor coders on coding guidelines, process updates, and quality improvements.
• Ensure compliance with ICD-10-CM, CPT, HCPCS, payer-specific guidelines, and client requirements.
• Support process improvement initiatives and workflow optimization.

Skills

Team leadership

Auditing & QA

Coaching & mentoring

Productivity management

Quality governance

Client escalations handling

ICD-10-CM knowledge

CPT / HCPCS knowledge

Denials management

Education

CPC, CCS, COC, CIC or equivalent certification

Job description

We are hiring experienced Team Leads for our Medical Coding Operations team in Mumbai.

Preferred Specialty Exposure:

• Denials
• E&M + Surgery
• E&M IP
• E&M OP
• ED Profee
• Observation
• Ancillaries
• Radiation Oncology
• Pathology

Key Responsibilities:

• Lead and manage coding teams to deliver productivity, quality, and SLA targets.
• Review coding quality, perform audits, and drive corrective action plans.
• Handle coding escalations and provide guidance to team members.
• Monitor daily productivity, TAT, and quality metrics.
• Conduct team huddles, coaching sessions, and performance reviews.
• Collaborate with Operations, Quality, and Client teams to improve delivery performance.
• Train and mentor coders on coding guidelines, process updates, and quality improvements.
• Ensure compliance with ICD-10-CM, CPT, HCPCS, payer-specific guidelines, and client requirements.
• Support process improvement initiatives and workflow optimization.

Requirements:

• 8+ years of US Medical Coding experience.
• Prior experience as Team Lead / Senior Team Lead / SME / QA Lead.
• Strong experience in one or more of the listed specialties.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and coding guidelines.
• Experience in productivity management, quality governance, and client escalations.
• CPC, CCS, COC, CIC or equivalent certification preferred.

Location: Mumbai (Work from Office)