AVP- Risk Adjustment - Coding
- Graduate in Life science, Paramedical (BPT, BOT, B.SC Nursing) preferred
- Experience: 13 to 16 years of experience with HCC Risk Adjustment
- Team Handling Experience: With team size of 200+ users
- Must have handled multiple HCC clients
- CRC / CPC / CCS / COC certification - Any one Mandatory
Additional Skills:
- HCC coding experience
- Strong Knowledge of ICD-10 CM and HCC coding guidelines
- Previously clinical background preferred but not mandate
- Strong personal and professional ethics
- Excellent communication skills both written and verbal
- Six Sigma Certification - Not mandate
Key Functions and Responsibilities:
- Manage the day-to-day operations to meet the monthly client deliverables with agreed SLA's
- Monitor the resource utilization across the project and create action plans to improve.
- Leading mentoring and monitoring the performance of AM, LAM, Managers and, Sr. Mangers to ensure efficiency in process operations.
- Review the quality metrics and implementing the best practices to improve the SLA's
- Mapping client requirements, identifying the improvement areas and implementing the measures to maximize customer satisfaction.
- Understanding the customer pain points and provide innovative solutions to improve customer service level.
- Motivates high performance among team members and organizing quality circle activities.
- Preparing and submit project performance report in the leadership review
- Conducting monthly review meeting with client and ensures the action plan implemented for all open items.
- Create a backup team for all process by effective cross training to build the additional capacity
- Identify the hiring requirement basis the volume forecast and coordinate with leadership and hiring team.
- Review progress of attrition action plan and check effectiveness
- Adhering to meet the revenue forecast across the projects.
- Implementation of automation opportunities identified by team by coordinating with respective stake holders.
- Standardizing the project level reports.
- Ensuring Skip level meeting with Team and immediate Reportees
- Ensuring the compliance adherence across projects
