General Manager - Medical Coding
Core
Manage hospital and professional medical coding operations, including ICD/CPT code assignment, case abstracting, charge capture, and billing edit work queues.
Role type
Senior Manager, Medical Coding Operations
Builds
Accurate medical coding, charge capture, and billing compliance for healthcare clients
Domain
Healthcare / Medical Billing & Coding
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10, CPT, MS-DRG, APR-DRG code classifications, Six Sigma (Black/Green Belt), PMP, CPC/CCS certification, team leadership, quality assurance program design, denial management, EHR workflow optimization, regulatory compliance (federal/state/payer-specific), revenue leakage analysis
Preferred skills
Encoder tools (3M, Trucode), US travel visa experience, transition experience
Technologies
3M, Trucode, EHR systems
Responsibilities
Oversee daily operations of coding team including workload, staffing, hiring, training, and performance appraisals; Manage Discharged Not Billed (DNB) work queues to meet targets; Develop and manage key coding performance indicators and metrics; Lead quality assurance and productivity programs; Collaborate on documentation standards and policies; Direct preparation of routine and custom reports for management; Manage coding denial activities; Analyze and trend key metrics including CMI.
Seniority
Senior Manager, hands-on leadership