Company Overview

Total RCM Solutions, LLC, incorporated on June 13, 2018, is a leading revenue cycle management company that offers services to healthcare providers in the United States. With a team of professionals possessing over 100+ years of expertise, the company specializes in various EMR and PM systems, offering end-to-end RCM services, appeal management, and patient service solutions. Headquartered in Bangalore, Total RCM Solutions is dedicated to optimizing healthcare practices through comprehensive RCM strategies. Visit us at totalrcmsolutions.com.

Job Overview

We are seeking a skilled Medical Coding Lead to join our team in Bangalore. This role involves overseeing medical coding operations, ensuring accuracy, and maintaining compliance with industry standards. The position offers flexibility with remote and hybrid employment options.

Qualifications and Skills

• Extensive experience in medical coding with a deep understanding of coding guidelines and regulations.
• Strong problem-solving abilities to address and resolve coding discrepancies and issues effectively.
• Exceptional project management skills to oversee multiple coding projects and ensure timely completion.
• Proven expertise in quality assurance, ensuring all coding meets high standards of accuracy and compliance.
• Proficiency in various EMR and PM systems to apply processes and workflows that suit different practice needs.
• Excellent communication skills to interact with healthcare providers and team members for optimal coding practices.
• Attention to detail to review and validate claims before submission, ensuring adherence to coding and payor guidelines.
• Ability to mentor and train junior coders to maintain a knowledgeable and efficient coding team.

Roles and Responsibilities

• Lead and manage the medical coding team to ensure accurate and compliant coding processes.
• Review medical records and assign appropriate ICD, CPT, and HCPCS codes according to established guidelines.
• Conduct audits and quality checks to identify and rectify coding errors and discrepancies.
• Collaborate with healthcare providers to clarify coding-related queries and ensure correct documentation.
• Monitor coding productivity and accuracy metrics to meet performance targets and improve overall efficiency.
• Develop and implement coding policies and procedures to maintain high standards of accuracy and compliance.
• Keep abreast of changes in coding regulations and industry best practices to provide up-to-date guidance to the team.
• Provide training and support to coding staff to enhance their skills and knowledge in medical coding.