Ikya Global
Key Responsibilities
Operational & Delivery Management
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Manage end-to-end delivery for assigned medical coding operations (Surgery / IP-DRG / E&M / ED).
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Own productivity, quality, TAT, SLA adherence, and utilization across multiple teams.
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Ensure uninterrupted delivery aligned with client and organizational expectations.
Quality, Compliance & Audit Oversight
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Ensure coding accuracy ≥ 95% and strict adherence to CMS, Medicare, payer guidelines, and HIPAA.
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Oversee QA audits, calibration sessions, and corrective action plans.
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Track and address denials, rework, and audit findings proactively.
People & Performance Leadership
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Lead and manage Assistant Managers, Team Leads, SMEs, and Coding teams.
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Drive performance management, coaching, and capability development.
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Support hiring, onboarding, training, and workforce planning.
Client & Stakeholder Management
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Act as a primary point of contact for client communications and escalations.
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Participate in client review meetings and governance calls.
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Prepare and present MIS reports, KPIs, dashboards, and improvement plans.
Process Improvement & Delivery Excellence
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Implement and optimize SOPs, workflows, and delivery models.
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Support process transitions, ramp-ups, and scope expansions.
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Identify operational risks and drive continuous improvement initiatives.
Qualifications & Experience
Education
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Bachelor’s degree in Life Sciences, Nursing, Pharmacy, or a related field (preferred).
Experience
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10–13 years of total experience in Medical Coding.
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Minimum 4–6 years in people-management roles (TL / AM / Manager).
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Strong hands-on exposure in Surgery or IP-DRG or E&M or ED.
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Experience managing multiple teams and high-volume operations.
Certifications (Mandatory)
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Active coding certification is required.
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certifications:
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CPC
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COC
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CCS
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Candidates without certification are not eligible.
Key Skills
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Strong operational and people-management capabilities.
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Deep understanding of coding workflows, audits, and compliance.
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Excellent communication and stakeholder-management skills.
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Strong analytical mindset with KPI-driven decision-making.
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Ability to handle escalations and manage complex operations.
