Associate Vice President-Coding

Position Details

Designation

Associate Vice President

IKS Overview

IKS Health is a leading Provider Enablement Platform that enables providers to deliver better, safer & more efficient care through a strategic blend of technology and expertise. Our solutions help provider groups create a physician-led & patient-centric care delivery model where providers are the co-navigators of the patient’s care journey through the continuum of care. Our solutions are designed with the aim of restoring joy and viability to the practice of medicine by giving providers the tools and resources they need to focus on what matters most - the patient.

As an integrated Provider Enablement Platform, IKS Health is a go-to resource for providers and organizations looking to effectively scale, improve quality and achieve cost savings through integrated technology and forward thinking solutions.

The care delivery process and business solutions are driven through four interrelated Feature Clusters or Product Suite -

Revenue Optimization Services: We offer a comprehensive financial solution that maximizes revenue, maximizes cash, and minimizes the cost of collections for our customers. This line of business boasts of solutions like Revenue Cycle Management (RCM), Denial Prediction Engine, POS Collection, Liability Estimation, AR Decision Support Tools, Real-time Adjudication, & more.

Clinical Support Solutions: Suite of clinical support services that help providers deliver better clinical outcomes, better patient satisfaction, and lower medical costs, resulting in improved clinician engagement Synchronous & Asynchronous Scribe. IKS AssuRx, IKS Migrate, IKS Stacks, Inbox Management, Pre-Visit Summary, Coding Solutions, and Synchronous Clinical Concierge.

Value Based Care: We support our customers through an array of solutions that help them achieve better outcomes and therefore greater value for the care provided. Some of these solutions include Risk & Quality Optimization, Care Coordination, TCM, CCM, Patient Navigators, Utilization Management (UM), Medicine Reconciliation and Adherence, and Payment Reconciliation and Adjudication.

Digital Health Solutions: A platform that delivers data-driven value and expertise across the care continuum. It enables provider enterprises leverage the full potential of their technology assets by helping them build, enhance, maintain, support, and manage their IT assets, including building unifying data platforms; creating bespoke IT solutions leveraging Hyper Automation, Data/Analytics, Interoperability Solutions, Application Engineering; & so on.

IKS Health provides an excellent platform for leaders with exceptional clinical talent as well as experience in leading and managing a business unit. IKS currently impacts over 35000+ physicians with leading health systems in the US. With a strongly visible pipeline, IKS’ solutions will start touching and improving the lives of many more physicians in the next couple of years.

Profile Description

The AVP of Coding will be responsible for ensuring that the Site’s operations of IKS Coding meet or exceed client requirements and are operationally efficient. It is critical that we quickly ramp to scale and establish industry wide best practices across the coding services. This role will lead the site for the coding Line of Business.

Key Responsibilities

Process:

Accountable for delivery of operations as per SLAs for all accounts aligned to them.

Responsible for managing end to end transitions and migrations of new accounts

Collaborate with the Client and the Client services team towards efficient execution of Operations and the business.

Ensure governance and smooth functioning of Operations as well as with clients, through daily calls and meets, Weekly/ Monthly/Quarterly reviews

Bring about Process Improvement to overcome identified gaps in the process.

Manage the Budgeted Headcount to the optimum capacity.

Responsible for final invoices and accuracy of invoices of his/her account(s)

WFM: Maintain Detailed Capacity Plan at account level

Data Analysis: Prepare Collective Dashboard and conduct cross Functional analysis of Quality data, RVU, and Coding for Client Calls.

Collaborate with sales in building the business and to design new offerings.

Ensure focus and execution of the key measurements for the role and i.e. Revenue, Gross Margin, and Customer Satisfaction

Contribute to the development of short and long term strategies operational goals.

Should be able to guide operations on functional aspects of coding and endeavor to improve coding standards in the team.

Ensure best in class Operations: Create and manage operational frameworks to deliver high quality work in the field of medical coding.

Liaison with internal stakeholders

Work with delivery leaders to launch and lead six sigma quality projects across IKS Coding

Responsible for new developments (in discussion with Practice team) across coding

Accountable for managing headcount optimization across all accounts in consultation with the PL/AVPs and ensure resources are utilized

People:

Provide functional support and direction to the team.

Boost the morale of the employees and develop a work environment based on equity and meritocracy

Maintain fairness in the performance management system and create an environment of guidance, mentoring and development of teams.

Review whether the training needs of all operation employees identified and training is imparted to develop the level of employees as expected

Accountable for the performance management and improvement of the Bottom Quartile employees

Accountable for overall people engagement in coding

Responsible for assessing hiring requirements across levels in discussion with WFM.

Responsible for hiring decisions based on headcount/P&L and planning of supervisor/leadership for the FY based on budgets.

Work on attrition mitigation plan for the vertical

Define career paths and development goals for every individual in the team.

Ensuring a Learning culture through constant training needs identification, training program coverage at all levels as per development plans for his/her account/department designed in the Career Architecture.

Ensuring that all programs planned for Self Development are completed.

Client:

Accountable for preparing dashboards/reports for the client and senior management

Work with client services and ML's to create new solutions for existing or new accounts

Responsible for partnering in the implementation/transition of new accounts.

Ensure all new accounts are implemented based on agreed timelines in discussion with the client(s)

Manage high Customer Satisfaction Levels.

Financial:

Accountable for overall P&L for the vertical, revenue forecasts, budgeting, and liaising with market leaders on new/existing SOWs, implementation of COLA, minimum billing clauses.

Functional Competencies:

Strong expertise on ICD -10 and CPT with any of the specialties would be preferred.

Deep understanding of the coding guidelines with the ability to provide supervision on quality reviews to the delivery team.

Detailed understanding of the end to end RCM cycle related to US healthcare and related key areas of measuring success would be preferred.

Ability to Lead, guide and mentor large delivery teams.

Familiarity with clinical documentation coding

Should be flexible in travelling within India as well as to the US.

Client Management Skills

Good Governance and Process Improvement ability

Good knowledge and experience of handling P&Ls and Budgets at an account level

Education & Experience

Should be a graduate from any field.

AHIMA/AAPC certification is a must.

BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science would be preferred.

MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantage.

12+ years experience in running core coding operations including having significant experience in coding audits, workflow assessments, onsite and remote client management is a must.

Experience of managing and working on P&L of the business OR account is a must.

IKS HEALTH

DALLAS

8951 Cypress Waters Blvd, Ste 100, Irving, TX 75063

HYDERABAD

M/s. NSL SEZ (Hyderabad) Pvt. Ltd., IDA Uppal, Hyderabad - 500 039, India

M/s. NSL Pvt. Ltd. (SEZ), IDA Uppal, Telangana - 500 039, India

LOS ANGELES

6565 W Sunset Blvd, Ste 525, Los Angeles, CA 90028

MUMBAI

Mindspace Business Park (SEZ), Airoli, Navi Mumbai - 400 708, India