AVP - Medical Coding

AVP – Medical Coding & Denial Management
R3 | Location: India | Full-time
R3 is hiring a AVP to lead our client's end-to-end medical coding and denial management operations. This is a hands-on leadership role for a certified coder who can drive coding quality, client relationships, and team performance at scale.
What You'll Do
Lead end-to-end medical coding and denial coding operations across specialties, applying medical terminology, AMA guidelines, anatomy, physiology, and procedural knowledge (lab coding experience a plus)
Guide the team on fixing front-end denials and rejections, and own start-up/transition projects
Partner with clients to pitch coding solutions and educate providers on compliant coding methodology
Own client relationships, service delivery, and internal stakeholder management
Set direction and operating structure for coding teams; build frameworks that drive quality and ROI
Resolve client delivery escalations by working directly with team members and client physicians
Build feedback loops between quality assessment, training, and operations
Drive attrition control, team engagement, and a strong client satisfaction track record
Establish best practices across coding services; stay current via coding/reimbursement workshops and certifications
Review payer policies regularly and cascade updates to the team
What You Bring
Active coding certification (CPC/CCS or equivalent)
15+ years in medical coding, including coding audits, pre-adjudication, workflow design, and lab panel recommendations
Strong command of ICD-10, E&M, and Pathology & Laboratory coding
Proven experience supervising quality reviews for a delivery team
Currently a AVP / Director with 3.5+ years, in current designation

Experience
10+ yrs

Work arrangement
No