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USI RRF | EH27 |LSHC - HCC/CDI- Manager
manager · Healthcare & Pharma
The Medical Coding Manager is a leadership-first role responsible for managing and developing a high-performing coding team. The ideal candidate is a confident communicator and experienced people manager who can drive operational excellence, build a strong team culture, and serve as the bridge between offshore and onshore stakeholders. They will oversee daily operations, ensure the team meets all performance targets, lead audit initiatives, manage project timelines, and deliver clear performance insights to senior leadership.
The role also involves conducting coding and billing compliance reviews across various specialties, including inpatient, outpatient, and professional services. Candidates are expected to have working knowledge of the Official ICD-10-CM/PCS Coding Guidelines, CPT and HCPCS coding guidelines, Federal and State regulations, AHA coding guidelines including the Coding Clinic, AMA CPT Assistant publications, and AHIMA compliant query guidelines. Technical coding proficiency will be assessed separately during the selection process.
Work you'll do
As a Medical Coding Manager on the Regulatory Healthcare Practice team, you will be responsible for:
- Manage daily operations for the medical coding team, including work allocation, quality oversight, and performance tracking across coding workflows.
- Lead coding and billing compliance reviews across inpatient, outpatient, professional, and risk-adjustment-related engagements, including validation of clinical documentation and Hierarchical Condition Category capture support.
- Review coding edits, rejections, denials, claims adjudication, and payment outcomes; perform root cause analysis; and identify documentation improvement opportunities.
- Oversee onboarding, training, mentoring, and remedial education for coding professionals based on audit findings, quality trends, and business needs.
- Track production, quality, and assigned-task metrics and communicate findings, risks, and performance insights to internal leadership and client stakeholders.
The team
Deloitte’s provides you an opportunity to gain valuable hands-on experience working alongside leading professionals across healthcare industries while building your professional skills in a variety of project experiences. Our practice helps organizations effectively navigate business risks and opportunities—from strategic, reputation, and financial risks to operational, cyber, and regulatory risks—to gain competitive advantage.
Location: Chennai
Shift Timings: 11 AM to 8 PM IST
Qualifications
Required:
- 13+ years of medical coding experience, including experience managing a coding team.
- Coding certification from the American Health Information Management Association (AHIMA) and/or the American Academy of Professional Coders (AAPC), such as Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Inpatient Coder (CIC).
- Experience leading coding work across multiple domains, including inpatient, hospital outpatient, emergency department, ambulatory surgery, professional coding, or Hierarchical Condition Category (HCC).
- Experience performing coding reviews for hospital inpatient, outpatient, and/or professional claims for risk adjustment and clinical documentation support.
- Experience with medical billing guidelines, including Centers for Medicare & Medicaid Services (CMS) requirements and payment methodologies such as Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), and Medicare Physician Fee Schedule (MPFS).
- Experience using Epic electronic medical record (EMR) systems.
- Experience using hospital coding encoder tools such as 3M.
Preferred:
- Experience using data and analytics to support quality, compliance, or risk management activities.
- Prior consulting experience.
- Graduate degree or professional education in medicine or an allied healthcare field.