Team Manager, RCM Coding

Job Summary

Primary Duties & Responsibilities

• Operational Leadership & Quality Assurance Management
• Direct and manage the internal department’s day-to-day coding and auditing processes.
• Establish quality assurance workflows, establish guidelines, and delegate work across internal and global teams to optimize operational efficiency.
• Oversee coding and billing compliance monitoring for gGastro/gMed and EMA/PM BOOST clients.
• Subject Matter Expertise & Query Support
• Serve as the primary coding SME for ModMed India COE coders and the broader BOOST team.
• Resolve complex coding queries, documentation clarifications, and billing items to ensure accurate claim generation.
• Vendor Oversight & Denial Mitigation
• Partner with the Manager of Medical Coding and Auditing to conduct recurring quality calls with global coding vendors.
• Analyze coding denial trends, drive root-cause analysis, lead knowledge transfer sessions, and conduct regular trainings for internal and vendor teams.

Process Innovation & Documentation

Leadership Competencies (Priority Focus)

Job Qualifications & Requirements

• Minimum Requirements
• Education: Bachelor’s Degree or equivalent practical experience.
• Required Certification:Active certification in at least one of the following:
• Certified Professional Coder
• Certified Outpatient Coder
• Certified Coding Specialist - Physician
• Experience & Skills: Demonstrated background in multi-specialty medical coding and documentation auditing.
• Proven leadership capability or team management experience.
• Strong expertise with physician billing workflows and electronic health record (EHR) systems.
• Preferred Qualifications
• Active **Certified Professional Medical Auditor (CPMA)** certification in addition to CPC, COC, or CCS-P.
• Direct experience working with EMA/PM or gGastro/gMed platforms. Previous experience managing global vendor performance and remote team dynamics.

ModMed Benefits Highlight

• At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:
• Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
• Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
• Allowances: Annual wellness allowance to support your well-being and productivity,
• Earned, casual, and sick leaves to maintain a healthy work-life balance,
• Bereavement leave for difficult times and extended medical leave options,
• Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
• Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.
• PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (first.lastname@modmed.com). Please check senders’ email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website .
• ModMed Technologies India Private Limited follows a strict, merit-based and transparent recruitment process conducted only through official and authorized channels. We do not:
• Charge any fees, processing charges, or amount by any nomenclature, whether as a fee or deposit at any stage of the recruitment process;
• Authorise any individual, employee, or third party to collect any such payments (regardless of nomenclature) to offer or facilitate or recruitment opportunities; or
• Conduct hiring via informal messaging apps or personal email IDs.
• All official communication is made only through verified channels, our website, and recognised recruitment platforms. We strongly advise candidates not to share personal/financial information or make any payments in response to suspicious communications. Any such instances may be reported to us at hrcompliance@modmed.com . ModMed Technologies India Private Limited will not be responsible for any loss arising from fraudulent or unauthorised communications.