Manager - Service Line

Job Description - Manager, Service Line

Key Responsibilities

Denial Prevention & Revenue Integrity

• Lead denial prevention initiatives by monitoring coding-related denial trends, performing root cause analysis, and implementing corrective actions to improve revenue integrity and coding accuracy.
• Collaborate with operational, quality, and client stakeholders to strengthen controls that minimize denial leakage and improve claim outcomes.

Coding Quality & Standardization

• Partner with internal benchmarking and excellence teams to evaluate existing coding workflows and identify opportunities for standardization.
• Drive consistency in coding practices across inpatient and complex clinical coding engagements through audit reviews, feedback mechanisms, and best-practice adoption.
• Establish governance processes that promote coding accuracy, compliance, and reduced variability in coding outcomes.

Process Excellence & Continuous Improvement

• Conduct process assessments, value stream mapping (VSM), and workflow reviews to identify inefficiencies and optimization opportunities.
• Design and implement standardized operating procedures, streamlined workflows, and automation opportunities to improve operational efficiency.
• Lead continuous improvement initiatives focused on enhancing service delivery, reducing waste, and improving overall productivity.

Productivity & Performance Optimization

• Analyze productivity metrics across global delivery locations and identify drivers of performance variation.
• Collaborate with offshore and onshore teams to align operating practices, productivity standards, and performance expectations.
• Implement performance improvement initiatives that drive operational consistency and sustainable productivity gains.

Stakeholder Management & Governance

• Engage with leadership, operations, quality, and client stakeholders to drive alignment on service line objectives and operational priorities.
• Establish KPI monitoring, reporting, and governance mechanisms to track quality, productivity, compliance, and process improvement outcomes.
• Present insights, recommendations, and progress updates to senior leadership and support strategic decision-making.

Operational Leadership

• Lead and mentor coding operations teams, fostering a culture of accountability, continuous learning, and operational excellence.
• Drive adoption of industry best practices, standardized methodologies, and data-driven decision-making across the service line.
• Support organizational transformation initiatives focused on quality enhancement, efficiency improvement, and business growth.

Interested candidates please share your resumes to my Email ID

Sravya Nalikela - [email protected]