Job Title: Associate Director – Medical Coding
Location: Hyderabad, Telangana, India
Job Category: Business Operations
Employment Type: Full-Time
Company Overview:
Optum is a global healthcare leader leveraging advanced technology to improve the lives of millions worldwide. Our mission is to connect patients with care, pharmacy benefits, and resources that optimize health outcomes. At Optum, we foster a culture of inclusion, innovation, and professional growth, empowering teams to drive measurable impact across the healthcare ecosystem. Join us to contribute to a high-performance, patient-centered organization shaping the future of healthcare delivery.
Position Overview:
The Associate Director – Medical Coding is a strategic leadership role responsible for overseeing coding operations, ensuring compliance with Risk Adjustment (RA) standards, and driving operational excellence in clinical coding processes. This position requires extensive expertise in medical coding, leadership of large, cross-functional teams, and a deep understanding of regulatory, payer, and clinical documentation requirements.
The role is critical to maintaining high coding accuracy, regulatory compliance, and operational efficiency while mentoring and developing a large team of coding professionals.
Key Responsibilities:
Medical Coding Quality & Compliance
Lead and monitor medical coding quality programs, including RA, provider, and clinical coding initiatives.
Review audit findings, noncompliance trends, and implement corrective actions to enhance coding accuracy.
Establish and track KPIs for coding quality, turnaround time, and operational efficiency.
Ensure staff adherence to coding standards (ICD-10, CPT, HCPCS) and payer-specific guidelines.
Provide guidance on regulatory and contractual coding requirements to internal teams and external stakeholders.
Operational Leadership & Performance Management
Manage large-scale coding operations, ensuring SLA compliance and high-quality output.
Collaborate with supervisors and cross-functional teams to streamline coding workflows, implement best practices, and improve operational efficiency.
Utilize analytics and dashboards to monitor performance trends, identify gaps, and implement process enhancements.
Oversee budget planning, resource allocation, and workforce management for coding operations.
Stakeholder Engagement & Team Development
Build and maintain relationships with internal and external stakeholders, including clinical, compliance, and revenue cycle teams.
Conduct performance reviews, coaching, and training programs to ensure continuous staff development.
Lead meetings and reporting on coding quality trends, audit outcomes, and compliance initiatives.
Foster a culture of accountability, collaboration, and innovation within the coding teams.
Strategic Planning & Innovation
Integrate coding performance insights into operational forecasting and strategic planning.
Identify opportunities to scale operations, improve accuracy, and optimize financial performance.
Implement innovative solutions to enhance coding quality, operational efficiency, and compliance.
Required Qualifications & Experience:
Minimum 13+ years of leadership experience in healthcare operations, with at least 12+ years in specialized medical coding.
Proven expertise in Risk Adjustment coding standards, clinical audits, and compliance requirements.
Hands-on experience managing coding operations for large teams (350+ FTEs) in a healthcare or revenue cycle environment.
Strong knowledge of ICD-10, CPT, HCPCS, RA methodologies, and clinical documentation requirements.
Demonstrated ability to manage P&L, budgets, and strategic initiatives in coding and clinical operations.
Exceptional project management skills with experience leading cross-functional, large-scale projects.
Excellent analytical, communication, and interpersonal skills with a focus on mentoring and team development.
Preferred Qualifications:
Experience in RX Revenue Cycle Management (RCM), provider coding, or clinical case review.
Proven track record of process improvement, operational efficiency, and compliance excellence.
Advanced certifications in coding or risk adjustment are highly desirable.
Why Join Optum:
Opportunity to lead a high-impact medical coding organization within a global healthcare leader.
Exposure to innovative healthcare technologies, risk adjustment methodologies, and revenue cycle management.
Supportive culture emphasizing learning, diversity, equity, and inclusion.
Competitive compensation, benefits, and professional development opportunities.
Apply Now to become a key leader in shaping medical coding excellence and operational performance at Optum.
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