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Senior Manager – Medical Coding

10-15 years
Not Disclosed
10 May 5, 2025
Job Description
Job Type: Full Time Education: B.Sc./M.Sc/B.Pharm/M.Pharm/Life Science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

 

Job Title: Senior Manager – Medical Coding

Requisition Number: 2276989
Job Category: Medical & Clinical Operations
Primary Location: Noida, Uttar Pradesh, IN


Company Overview

Optum is a global organization that integrates care and technology to help millions of people live healthier lives. The work done by Optum’s team directly improves health outcomes by connecting people with necessary care, pharmacy benefits, data, and resources. Optum is committed to advancing health equity on a global scale and providing comprehensive career development opportunities.


Role Summary

Optum is looking for a Senior Manager – Medical Coding to manage a team of 300 to 400 coders and oversee all aspects of medical coding operations. The role involves ensuring compliance with coding and billing requirements, performance management, client interaction, and continuous process improvement.


Key Responsibilities

  • Manage a team of 300-400 medical coders.

  • Ensure adherence to coding and billing requirements and regulatory changes.

  • Monitor KPIs such as productivity, quality, TAT (Turnaround Time), attendance, and attrition.

  • Interface effectively with internal and external coding personnel and clients.

  • Provide expertise and leadership in medical coding and auditing.

  • Maintain strong relationships with internal stakeholders and clients.

  • Review periodic reports and evaluate operational practices.

  • Support quality initiatives aimed at process improvement.

  • Lead internal audits and ensure compliance.

  • Develop and implement retention strategies to manage attrition.

  • Prepare annual business plans and operating budgets.

  • Provide performance feedback, coaching, and conflict resolution.

  • Ensure compliance with company policies, procedures, and directives.


Required Qualifications

  • Bachelor’s degree in education.

  • 15+ years of experience in US healthcare, with 10+ years in people and process management.

  • 5+ years of experience in US Healthcare – RCM (Revenue Cycle Management), Medical Coding, or Payment Integrity.

  • Strong knowledge of healthcare reimbursement methodologies and organizational structure.

  • Experience managing large teams in a fast-paced business environment.

  • Strong analytical, communication, and interpersonal skills.

  • Proven ability to develop planning and project management strategies.


Additional Information

Optum is dedicated to providing equitable care and ensuring that all people, regardless of race, gender, sexuality, or income, have the opportunity to live healthier lives. The organization aims to mitigate health disparities and improve health outcomes for all.


How to Apply

Interested candidates should apply via the Optum platform or follow the application instructions provided on their website.