Operations Manager-Medical Coding

Role Summary<\/b>
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The Operations Manager / Senior Operations Manager is responsible for leading day\-to\-day
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medical coding operations, ensuring delivery excellence across productivity, quality,
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compliance, and client SLAs. The role involves managing large teams, improving
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performance, and acting as a key link between senior leadership and operations teams.
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Key Responsibilities<\/b>
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1. End\-to\-End Operational Ownership<\/b>
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o Own complete delivery of assigned medical coding processes/accounts across
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shifts and locations
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o Translate client SLAs, quality benchmarks, and productivity targets into daily
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execution plans
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o Ensure uninterrupted operations through effective manpower planning, workload
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distribution, and shift coverage
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o Monitor volumes, backlogs, and capacity to proactively mitigate delivery risks
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o Act as the primary operational escalation point and ensure timely resolution of
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delivery issues
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2. Productivity, SLA & Financial Control<\/b>
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o Drive achievement of productivity, accuracy, and utilization targets in line with
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business plans
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o Monitor SLA, TAT, and throughput metrics to prevent revenue leakage and penalties
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o Identify cost optimization opportunities through efficient staffing, cross\-skilling, and
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utilization control
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o Support budget adherence by managing overtime, shrinkage, and resource
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allocation.
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3. Quality & Compliance Management<\/b>
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o Ensure strict adherence to ICD\-10\-CM, CPT, HCPCS, payer\-specific, and clientdefined coding guidelines
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o Review audit scores, error trends, defect leakage, and rework analysis on a
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continuous basis
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o Partner with Quality and Training teams to drive targeted coaching, refresher
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training, and calibration sessions
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o Implement and track Corrective and Preventive Action (CAPA) plans to sustain
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quality improvements
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o Ensure compliance with HIPAA, PHI handling, and internal data security policies
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o Support internal, external, and client audits; ensure timely closure of audit
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observations
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4. Client & Stakeholder Engagement<\/b>
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o Participate in regular client calls, governance reviews, and operational discussions
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o Prepare and present accurate MIS, dashboards, and performance narratives to
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clients and leadership
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o Manage day\-to\-day client expectations and ensure transparency in delivery updates
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o Handle operational escalations professionally and maintain high client confidence
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o Support new client onboarding, scope changes, and transition activities
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5. People Leadership & Workforce Management<\/b>
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o Lead, mentor, and develop Team Leads, Assistant Managers, and frontline
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supervisors
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o Conduct regular performance reviews, coaching sessions, and capability
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assessments
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o Drive employee engagement, motivation, and retention initiatives
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o Identify training needs and coordinate with Training teams for skill enhancement
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o Support hiring, onboarding, and certification planning for coding teams
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o Build a strong succession pipeline and promote internal talent growth
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6. MIS, Analytics & Governance<\/b>
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o Review daily, weekly, and monthly operational MIS and dashboards
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o Analyze trends across quality, productivity, attrition, and utilization
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o Provide data\-driven insights and action plans to senior leadership
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o Ensure accuracy, consistency, and timeliness of reporting
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7. Process Excellence & Continuous Improvement<\/b>
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o Identify opportunities for process simplification, standardization, and efficiency
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improvement
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o Lead continuous improvement initiatives using Lean, Six Sigma, or best\-practice
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frameworks
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o Ensure SOPs, workflows, and process documentation are current and followed
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o Collaboration with Technology teams for automation and tool\-based improvements
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8. Risk Management & Business Continuity<\/b>
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o Identify operational, quality, and compliance risks proactively
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o Develop mitigation plans to ensure delivery continuity during high volumes or
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attrition
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o Support business continuity planning and disaster recovery readiness
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Requirements<\/h3>
Eligibility & Experience:<\/b>
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\u2022 Bachelor\u2019s degree in Life Sciences, Healthcare, Pharmacy or Nursing.
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\u2022 Master\u2019s degree in healthcare management, Hospital Administration, or Business
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Administration (MBA) preferred.
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\u2022 Medical Coding certification (CPC / CCS / CIC) preferred.
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\u2022 10+ years of experience in US Healthcare / Medical Coding operations.
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\u2022 3\-6+ years in a managerial role such as OM / SOM/AM.
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\u2022 Proven experience managing large\-scale, multi\-client medical coding operations.
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\u2022 Demonstrated capability in leading 150+ FTE organizations through multi\-layer
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leadership structures
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