Associate Vice President Operations - Medical Coding

Job Description

Role Overview

The Associate Vice President – Medical Coding   will lead GeBBS’ medical operations at Hyderabad location. This strategic role is responsible for operational excellence, regulatory compliance, financial performance, technology adoption, and people development across the coding vertical.

The AVP will drive accuracy, productivity, automation, and innovation, ensuring delivery of world-class coding solutions to US healthcare provider and payer clients. The role requires a visionary leader who can balance clinical, operational, and technological expertise to shape the next generation of coding services.

Goals & Key Objectives

1. Operational Excellence & Delivery Performance
2. Financial Stewardship & Profitability
3. Client Partnership & Growth Enablement
4. Digital Transformation & Innovation
5. People Leadership & Organizational Capability
6. Governance, Compliance & Risk Management

Key Responsibilities

1. Strategic & Operational Leadership

• Lead end-to-end medical coding operations (IP/OP, ED, ProFee, Risk Adjustment, CDI, and Auditing).
• Oversee multi-site operations across India
• Ensure delivery excellence, SLA compliance, and client satisfaction across all engagements.
• Standardize processes, quality frameworks, and performance benchmarks across centers.
• Build scalable operating models to support organic and inorganic growth.

2. Financial & Business Management

• Manager P&L accountability for Coding operations.
• Develop and manage annual operating plans, revenue forecasts, and cost optimization initiatives.
• Drive sustainable growth and profitability through margin expansion and operational efficiency.
• Evaluate pricing strategies and support business development for new client opportunities.

3. Quality, Compliance & Governance

• Ensure 100% adherence to ICD-10/11, CPT, HCPCS, DRG, and provider-specific coding guidelines.
• Establish and oversee internal audit programs, error tracking, and corrective action mechanisms.
• Maintain compliance with HIPAA, SOC 2, OIG, and client-specific regulatory requirements.
• Partner with compliance and QA teams to ensure audit readiness and zero-defect delivery.
• Champion integrity and accuracy as the core of the coding culture.

4. Client Relationship & Strategic Engagement

• Act as the executive sponsor for key clients across provider and payer segments.
• Conduct regular Quarterly Business Reviews (QBRs) and executive steering committee meetings.
• Identify new business opportunities, value-add initiatives, and digital transformation projects for existing clients.
• Drive client retention, referenceability, and satisfaction (CSAT/NPS).

5. Technology, Automation & Transformation

• Lead the adoption of AI-assisted coding, NLP, computer-assisted coding (CAC), and GenAI tools for productivity enhancement.
• Partner with the Technology, Product, and Data Science teams to build intelligent workflows, predictive analytics, and automated audit models.
• Evaluate emerging tools and EHR integration strategies (Epic, Cerner, Meditech, etc.) to improve turnaround times and coding accuracy.
• Drive continuous improvement and Six Sigma programs to eliminate inefficiencies.

6. People Leadership & Organizational Development

• Lead, mentor, and inspire a large, diverse workforce of coders, auditors, HIM professionals, and operations leaders.
• Build structured career progression, certification, and leadership development programs.
• Ensure ongoing competency through continuous education, refresher training, and skill mapping.
• Drive a performance-driven culture emphasizing excellence, collaboration, and accountability.
• Oversee workforce planning, hiring, retention, and succession management in partnership with HR.

7. Cross-Functional & Strategic Collaboration

• Collaborate with Revenue Cycle, Coding Technology, Compliance, HR, and Finance teams for aligned strategy execution.
• Partner with Sales and Solutioning teams to support RFPs, due diligence, and transition planning.
• Represent the Coding & HIM function in corporate strategic initiatives, M&A integrations, and transformation councils.

Experience & Qualifications

• Education: Bachelor’s or Master’s degree in any discipline; medical coding certification (CPC, CCS, CIC, COC) is mandatory.
• Experience: 18–25 years in medical coding  with at least 8–10 years in senior leadership roles. Current role should be Director or equivalent to within Medical coding domain
• Proven experience managing large-scale multi-site coding operations (,500+ FTEs) across provider or payer verticals.
• Deep expertise in coding quality, compliance, CAC technologies, and audit frameworks.
• Demonstrated success in P&L ownership, client management, and transformation leadership.
• Strong understanding of US healthcare revenue cycle processes, HIM standards, and regulatory trends.

Excellent leadership, communication, and strategic execution capabilities