Ikya Global
Key Responsibilities
Leadership & Operational Oversight
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Provide strategic leadership for Surgery or IP-DRG coding operations based on the assigned scope.
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Oversee end-to-end delivery, including productivity, quality, TAT, and compliance.
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Drive operational excellence aligned with client SLAs and organizational goals.
Coding Quality & Compliance
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Ensure compliance with CMS, Medicare, MS-DRG (for IP-DRG), or surgical coding guidelines.
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Monitor audit outcomes, quality scores, denial trends, and compliance metrics.
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Lead corrective action plans to reduce denials, rework, and audit risks.
Client & Stakeholder Management
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Serve as the primary point of contact for client governance, escalations, and performance reviews.
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Present dashboards, KPIs, audit results, and improvement plans to clients.
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Support new client onboarding, transitions, and scope expansions.
Team Leadership & Development
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Lead and mentor Managers, Team Leads, QA Auditors, and Coding teams.
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Drive workforce planning, hiring, training, and succession management.
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Build a culture focused on quality, accountability, and continuous improvement.
Process Improvement & Strategy
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Define, implement, and optimize SOPs, workflows, and QA frameworks.
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Leverage data and analytics to improve coding accuracy and operational efficiency.
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Drive standardization and best practices within the assigned specialty.
Risk & Compliance Governance
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Ensure HIPAA and data security compliance, especially within a WFH delivery model.
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Proactively identify and mitigate operational and compliance risks.
Qualifications & Experience
Education
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Bachelor’s degree in Life Sciences, Nursing, Pharmacy, or a related field (mandatory).
Experience (Mandatory)
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Minimum 13 years of total experience in Medical Coding.
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Minimum 7 years of department-level leadership experience in Surgery or IP-DRG coding.
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Proven experience managing large teams and multi-layer operations.
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Strong exposure to U.S. healthcare reimbursement and audit environments.
Certifications (Mandatory)
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An active coding certification is required.
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certifications:
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CCS
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CPC / COC
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Candidates without active certification are not eligible.
Key Skills
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Deep expertise in either Surgery coding or IP-DRG workflows.
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Strong understanding of quality metrics, audits, denials, and compliance.
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Proven leadership in remote / WFH delivery models.
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Excellent client communication and escalation management skills.
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Strong analytical and decision-making capabilities.
