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Lead and mentor medical coding teams to ensure high performance and adherence to regulatory standards. Drive operational efficiency through quality audits, process automation, and collaboration with healthcare stakeholders.
Requires over 15 years of experience in medical coding with at least 5 years in a senior leadership role. Proficiency in ICD-10, CPT, and HCPCS is essential, and certifications like CPC or CCS are preferred.
About us:
SHAI is a technology-enabled service provider revolutionizing Revenue Cycle Management (RCM) in the US healthcare sector by combining proprietary technology, expertise, and efficient processes. We are committed to excellence and support diverse healthcare organizations in navigating complex financial landscapes.
Our end-to-end RCM services optimize revenue, reduce denials, and ensure compliance for medical billing companies, physician groups, and hospitals.
With over 30 years of experience, SHAI is known for trust and successful partnerships in the US healthcare sector, embracing technology to drive healthcare financial success.
For further information, please visit https://shai.health/index.php
Roles and Responsibilities
Team Management: Lead, mentor, and develop medical coding teams to achieve performance goals.
Coding Compliance: Ensure adherence to ICD-10, CPT, HCPCS, and other regulatory standards.
Quality Assurance: Implement audits and reviews to maintain coding accuracy and reduce errors.
Process Improvement: Drive efficiency through automation, workflow optimization, and best practices.
Stakeholder Collaboration: Work closely with physicians, billing teams, and compliance officers.
Training & Development: Organize training sessions to keep teams updated on coding guidelines and regulatory changes.
Reporting: Provide regular updates on productivity, accuracy, and compliance metrics to senior leadership
Candidate Profile:
15+ years of experience in medical coding, with at least 5 years in a senior leadership role.
Strong expertise in ICD-10, CPT, HCPCS, and DRG coding systems.
Proven track record in people management and team handling.
Excellent communication and interpersonal skills.
Certification such as CPC, CCS, or equivalent preferred.
Leadership & Vision
Regulatory Knowledge
Analytical Thinking
Problem-Solving
Communication & Collaboration
Adaptability
Synthesising Humans & AI
SHAI strengthens operational performance across U.S. healthcare systems while preserving provider capacity and protecting patient access — because efficiency should never come at the cost of care. Across hospitals, physician groups, ambulatory networks, FQHCs, community care centers, and health plans, we help improve margin integrity, accelerate cash flow, and sustain care delivery in an increasingly complex reimbursement environment. With 30+ years of experience, SHAI operates beyond traditional Revenue Cycle Management (RCM) — delivering integrated solutions across front-end, mid-cycle, and back-end workflows with strong clinical and payer-side alignment. Our capabilities include credentialing, eligibility verification, prior authorization & utilization management, medical coding & CDI, claims processing, denial management & AR optimization, payer correspondence, payment integrity, and clinical analytics including risk adjustment and quality audits. At the core of our approach is a dual-capability model — where intelligent automation meets human expertise. We don’t automate inefficiencies. We fix what’s broken, re-engineer processes, and then scale with precision. By integrating coding, clinical expertise, and analytics, we enable organizations to move from reactive operations to proactive control — improving clean claim rates, reducing denials, accelerating reimbursements, and strengthening audit readiness. Our model is built for scale, compliance, and predictability — with CMS-aligned frameworks, structured quality controls, and data-driven visibility. Everything we build is anchored in five principles: Partnership. Trust. Efficiency. Scalability. Compliance. We don’t just manage the revenue cycle. We engineer performance across it. Because better systems don’t just support care — they sustain it.
Offices: 16192 Coastal Hwy, Lewes, Delaware 19958, US
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