Associate Vice President – Medical Coding

Job Title: Associate Vice President – Medical Coding
Location: Pune
Work Mode: WFO (Work From Office)
Experience: 15 years in medical coding / RCM operations incl. 5 yrs in a leadership role managing multi-specialty coding teams
Education: Life Sciences/Paramedical graduate ( or equivalent); Certified Coder credential mandatory (CPC/CCS/COC — AAPC or AHIMA)
CTC: Up to 60 LPA
Notice Period: 30–45 days

Roles & Responsibilities
Lead and manage end-to-end medical coding operations including denial and pre-adjudication coding across multiple specialties
Supervise train and mentor coding teams while ensuring compliance with AMA guidelines payer policies and coding certifications
Drive client and stakeholder relationships resolve service delivery issues implement process improvements to enhance ROI and workflow efficiency
Establish operational frameworks best practices and QA loops between delivery training and compliance functions
Own P&L-adjacent delivery metrics: productivity quality (accuracy %) TAT client SLAs
Represent coding operations in client governance calls and QBRs

Mandatory Skills
ICD-10 CPT/E&M & Pathology/Lab Coding expertise
Medical Terminology & Anatomy/Physiology knowledge
Certified Coder credential (CPC/CCS/COC)
Denial Management & Pre-adjudication coding
Coding Audits & Quality Review supervision

Good to Have
Laboratory coding experience
Coding software tools (3M Encoder TruCode)
Healthcare reimbursement & payer policy familiarity
Data analytics for coding performance
Regulatory compliance knowledge (HIPAA OIG)

Mandatory Soft Skills
Leadership & people management
Client relationship and stakeholder management
Process improvement / operational excellence mindset
Effective communication & training abilities

Good to Have Soft Skills
Change management
Strategic planning
Presentation and negotiation skills
Business development orientation

Required Skills:

Revenue Cycle Management (RCM) Medical Billing Medical Coding Claims Management Payer Relations Healthcare Compliance HIPAA Compliance Learning Management Systems (LMS) Training Program Design & Delivery Learning & Development (L&D) Training Needs Analysis (TNA) Curriculum Development Employee Onboarding & Upskilling Resource Planning & Allocation Leadership & Team Management Stakeholder Management Analytical & Data-Driven Decision Making Training Operations Management Process Improvement & Quality Enhancement Training/Learning & Development experience in Healthcare or BPO Healthcare US Healthcare BPO