Assistant Manager - SME - Coding auditor

• Supervise and manage the daily activities of the surgery coding and audit teams, including in-house and contract auditors.
• Allocate workload, monitor performance, and ensure timely completion of assigned tasks in alignment with project timelines.
• Conduct regular team meetings to communicate updates, review performance, and address challenges or process changes.
• Foster a positive and productive work environment that encourages collaboration and accountability.

Quality & Productivity Oversight

• Ensure that coding audits meet defined accuracy, quality, and productivity benchmarks.
• Review audit results, identify trends or recurring issues, and implement corrective actions to maintain quality standards.
• Collaborate with Quality Assurance and Training teams to address performance gaps through targeted coaching and retraining.

Process Management & Improvement

• Monitor operational workflows to identify bottlenecks and recommend process enhancements for greater efficiency.
• Support the development and implementation of best practices in surgical coding operations.
• Ensure seamless coordination between coding, auditing, and training functions to maintain alignment with business objectives.

Compliance & Reporting

• Ensure strict adherence to HIPAA, OIG, and other compliance and confidentiality regulations.
• Maintain and track key performance metrics, preparing regular reports for senior management.
• Address audit discrepancies, process deviations, and non-compliance issues promptly and effectively.

Stakeholder & Client Coordination

• Act as a point of contact between the audit team, management, and clients to ensure smooth communication and issue resolution.
• Participate in client calls and internal reviews to discuss project status, performance, and quality outcomes.
• Support audit planning and resource allocation based on client requirements and project priorities.

• Understand the payer process of Surgery, APC, Outpatient.
• Application of coding and clinical information.
• Provide inputs and solutions to automatically recognize and extract data from medical documents for proper coding and to facilitate auditing.
• Prompt response to all the emails and requirements.
• Reporting to the manager as appropriate.
• Excellent project management skills, multi-tasking, training skills.
• Strong PC skills; Excel, Word, PowerPoint and internet-based programs
• Excellent verbal and written communication
• Experience in Strategic management
• Perform analysis of benchmarking.
• Research updated coding information
• Research coding issues that arise
• Maintain knowledge of Surgery coding and clinical concepts.
• Flexibility

Requirements :(AM-B1)

• Medical Coding or Auditing experience in Surgery Coding (outpatient, Prof, APC, ASC etc.)
• CPC, COC or other AAPC/AHIMA coding certification
• Auditing experience – desired
• Radiation Oncology coding/auditing experience – desired
• 7+ years relevant coding experience
• Open for an IC role (Independent Contributor)