Medical coding manager

This role is for one of the Weekday's clients

Salary range: Rs 1200000 - Rs 3000000 (ie INR 12-30 LPA)

Min Experience: 8 years

Location: Chennai, Hyderabad

JobType: full-time

We are seeking an experienced and detail-oriented Medical Coding Manager to lead and oversee medical coding operations across multiple specialties. The ideal candidate will bring deep expertise in medical coding standards, regulatory compliance, and revenue cycle processes, along with strong people management and quality governance skills. This role is critical in ensuring accurate clinical documentation translation, optimized reimbursement, and full compliance with payer and regulatory guidelines.

Requirements:
Key Responsibilities

• Lead and manage end-to-end medical coding operations, ensuring accuracy, productivity, and compliance with established coding standards and guidelines.
• Oversee coding across multiple specialties using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems.
• Ensure adherence to payer-specific rules, CMS guidelines, NCCI edits, and local coverage determinations (LCDs).
• Conduct regular coding audits and quality reviews to ensure high accuracy rates and identify training needs.
• Analyze audit findings, denial trends, and productivity metrics to drive continuous process improvement.
• Develop, implement, and maintain coding policies, SOPs, and best practices in line with regulatory changes.
• Stay current with evolving coding regulations, payer updates, and industry best practices; proactively implement changes.
• Collaborate closely with CDI, billing, compliance, revenue cycle, and clinical teams to resolve documentation and coding issues.
• Lead, mentor, and develop a team of coding professionals, including hiring, training, performance evaluation, and career development.
• Manage workload distribution, capacity planning, and productivity targets to meet operational SLAs.
• Act as a subject matter expert for complex coding cases, appeals, and payer audits.
• Support internal and external audits, including RAC, MAC, and payer reviews, and ensure timely responses.

Required Skills & Qualifications

• 8–20 years of experience in medical coding, with significant exposure to coding operations management.
• Strong hands-on expertise in Medical Coding across inpatient, outpatient, professional, and ancillary services.
• In-depth knowledge of ICD-10, CPT, HCPCS, DRG/APC methodologies, and reimbursement workflows.
• Proven experience managing large coding teams and driving quality and productivity outcomes.
• Strong understanding of healthcare compliance, HIPAA regulations, and audit readiness.
• Experience with EHR systems, encoder tools, and coding audit platforms.
• Excellent analytical, problem-solving, and decision-making abilities.
• Strong communication and stakeholder management skills.

Preferred Certifications

• CPC, CCS, CCS-P, CIC, or equivalent coding certifications (mandatory or highly preferred).
• AHIMA or AAPC membership preferred.