Key Responsibilities: Process: Manage team production and conduct process Quality monitoring Manage work assignment allocation review of work list Encourage engage team members for continuous improvement / process optimization / automation ideas Manage Business Intelligence through reports MIS for internal / client use Determine validity of move to client , either send back instructions to Rep or approve move to client Review coding review requests quantify preventable issues Communicate to Billing, PP or Coding as applicable Scenario findings to all staff for examples that were not valid coding review needs Work with Coding on responses that can be used in appeals when, coded correctly Review denial adjustments for validity - quantify preventable issues Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions. Review high risk/aged/ excessive incomplete action account balances. Manage up review AR findings and feedback Create QA Tip for week from client, payer, and account assessment scenarios Manage Global Issues Review process / function managed for Global Issues, high risk / aged items, Payer Trends, training needs for team members. Create case studies on identified issues impacting team performance / client business and share inputs with Quality Training Teams Ensure highest levels of Organization and Healthcare related compliance requirements are adhered to Ensure adherence to maintaining all necessary process documentation as per the QM Team Management: Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates Help manage team work life balance through efforts on leave planning and rostering Communicate effectively within with team members escalate issues to the management for timely resolution Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent Monthly One on One EMPOWER connects to be closed with all the team members Client Management: Being part of daily/weekly client update calls OR reviews. Timely response to client queries and requirements over email Partner and support the BI team in preparing important client reports for the process and releasing the same to the clients as per deadlines.

Key Responsibilities: Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in pre-process, process and systems to help employees perform their job effectively and efficiently Is required to be up-to-date will all changes in the ecosystem (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLA s Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor) Should be able to identify upskilling requirement and initiate content creation either for ILT (Instructor Led Training) or E-Learning Being the custodian of all knowledge requirements, will be actively participating in all transition activities Will be the client interface for all knowledge related discussions and should be able to gain a consultant position Should be well versed in SOP creation, documentation, preparing process flows

Job Responsibilities: Team Management: Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates. Help manage team work life balance through efforts on leave planning and rostering. Communicate effectively within & with team members & escalate issues to the management for timely resolution. Continuously manage performance through timely and effective feedback and coaching. Partner with Recruiting and Training functions to help improve the quality of incoming talent. Operations & Delivery: Manage team production and conduct process Quality monitoring. Manage work assignment allocation & review of work list. Encourage & engage team members for continuous improvement / process optimization / automation ideas. Manage Business Intelligence through reports & MIS for internal / client use. Determine validity of move to client , either send back instruction to Rep or approve & move to client. Review coding review requests & quantify preventable issues. Communicate to Billing, PP or Coding as applicable. Scenario findings to all staff for examples that were not valid coding review needs. Work with Coding on responses that can be used in appeals when coded correctly . Review denial adjustments for validity - quantify preventable issues. Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions. Review high risk/aged/ excessive incomplete action account balances . Manage up review AR findings and feedback. Create QA & Tip for week from client, payer, and account assessment scenarios. Manage Global Issues. Review process / function managed for Global Issues, high risk / aged items, Payer Trends, training needs for team members. Create case studies on identified issues impacting team performance / client business and share inputs with Quality & Training Teams. Compliance: Ensure highest levels of Organization and Healthcare related compliance requirements are adhered to. Ensure adherence to maintaining all necessary process documentation as per the QMS. Qualification & Skills Required: Graduation in any stream. Work experience of 5+ years and experience in the AR function of a US Healthcare Setup of at least 3+ years. Experience in managing teams of 20+ executives. Experienced in setting & measuring team targets, basic people management & leadership skills.

Key Responsibilities: Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in pre-process, process and systems to help employees perform their job effectively and efficiently Is required to be up-to-date will all changes in the ecosystem (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLA s Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor) Should be able to identify upskilling requirement and initiate content creation either for ILT (Instructor Led Training) or E-Learning Being the custodian of all knowledge requirements, will be actively participating in all transition activities Will be the client interface for all knowledge related discussions and should be able to gain a consultant position Should be well versed in SOP creation, documentation, preparing process flows

Profile Description The role requires: Retrieval and review of documentation in medical records from various client EMR systems. Verify the completeness of the documentation and coding in accordance with the coding compliance guidelines. *Verify the assigned diagnoses, procedural codes, modifiers and HCPCS codes adhering to the general, payer and client specifications (in all forms of audits (prospective, retrospective, focused). Identify errors related to compliance and coding including (provider/DOS/CPT/Mod/ICD) in alignment of the general coding guidelines, client and payer specifications as needed. Identify documentation issues which can be provided to client for documentation improvement Provide written and verbal feedback to the coders on the errors identified Provide daily audit reports and scores to the team members. Conduct huddle meetings on the identified errors if there is a demand, should participate in coding related discussions with client Should be strong in providing references and guidelines when suggesting their response either to coders or to client Key Responsibilities Process: *Retrieve the correct medical record of a patient, review validate completeness of documentation along with signatures, orders for diagnostic tests etc. Review and validate and/or modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. *Adhere to the standard operating procedures and instructions related to the process in coding. Communicate if there are documentation deficiencies or any other issues which prevent compliant coding. Be focused on self learning and update his/herself with the latest updates of the coding industry. Keep their coding credentials active by submitting their CEUs and renewing their credentials. People: Be a good team player and display respect for each and everyone. Adhere to the organization policies and be a good citizen of IKS. Client: Be customer centric in all aspects of work and meet the production and quality targets on a daily basis. *Be flexible to support client deliverables as needed. Financial: Meet their defined production and quality targets daily. Qualifications Minimum Education Qualification--Graduates in any of the below disciplines: Medical Graduates--MBBS, BHMS, BAMS, BUMS, BDS Paramedical graduates--BPT, B.Pharmacy, B.Sc Nursing, B.Sc Lab/Radiology or any other technicians Life sciences graduates--B.Sc (Biotechnology, chemistry, zoology, Botany, Microbiology, Genetics, etc) Mandatory active coding certification such as CPC, COC, CCS-P. Speciality medical coding auditor credentials if any are preferred such as CPMA Role Prerequisites Minimum graduation in any of the above mentioned disciplines Should hold an active coding certification. Hands-on- coding experience 30 + months in one or more coding lines of business such as Ancillary coding, EM, Surgery, Denials, IP DRG. Functional Competencies (knowledge and skill required. Highlight the MUST HAVES) Must have strong: Anatomy and Medical terminology Pathophysiology *Knowledgeable about diagnoses, procedures, Modifiers and /HCPCS codes and the coding guidelines Basic coding compliance guidelines. Behavioral Competencies Must have strong: Verbal and written communication skills Analytical skills Achievement orientation Integrity Research oriented