PRINCIPLE PURPOSE OF JOB
We are currently seeking Team Leader to support a growing client base and manage the day-today operational activities of the production team and to help stabilization of the process combining their clinical and/or coding expertise with payment accuracy. This includes ensuring that the team delivers as per set expectations while maintaining the required quality standards. The role involves day to day coordination with internal as well external teams
JOB RESPONSIBILITIES
- Handle the day-to-day operations and effectively lead a team of production auditors on the assigned project
- Ensure team delivers 100% on projects within contracted turn-around-time and meets accuracy metric as per client SLA
- Ensure optimum utilization of the staff and manage shrinkage to meet daily deliverables
- Identifying the areas of improvement for training for a team/individual based on error trend analysis
- Effective planning in place to manage OJT period within the specified period
- Support the team by discussing complex cases, resolving queries, providing education and interfacing with both company and client leadership
- Steer internal education program to ensure team has required training to meet accuracy and turn-around-time metric
- Ensures proactive identification of any negative deviations in the process
- Contribute to PCI product by providing feedback to Management/Development Teams on changes to enhance editing and efficiency
- Willing to work during US business hours during training and OJT phase and may last for 3 to 4 months. Thereafter shift timing will overlap with India working hours and couple of hours with US shift, based on business requirements.
- Required to work from office
- Works effectively in co-ordination with the India team
RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS
- Registered Nurse with CIC/CCS certification; with inpatient coding experience for a minimum of 2 years, preferably in DRG. Minimum of one year experience working as Team Leader or equivalent experience in Inpatient coding
- Experience in US Healthcare, medical coding, medical billing health plan operations strongly preferred
- Possesses knowledge of healthcare claims payment policy and processing specifically CMS, Medicaid regulations, ICD-10-PCS etc.
- Has general knowledge of medical procedures, conditions, illnesses, and treatment practices
- Must be willing to work onsite
