Yogesh Men
Noida
Summary
Strategic and results-driven Medical Coding Operations Manager with over 10 years of experience in HCC Risk Adjustment, ED, E&M, and Facility Coding. Demonstrated success in leading large teams (100+), managing client relationships, and driving operational excellence through data-driven decision-making. Proven ability to improve productivity, quality, and turnaround time (TAT) while ensuring compliance with CMS, OIG, and payer-specific regulations. Adept at managing attrition, building retention strategies, and fostering a high-performance culture.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Deputy Manager – Medical Coding
Corro Health
Ahmedabad
02.2025 - Current
- Lead 100+ coders and 4 Assistant Managers, ensuring 95%+ coding accuracy and regulatory compliance.
- Front-end client relationships, manage communication, and ensure SLA adherence.
- Drive process improvements, reducing TAT by 20% and claim denials by 15%.
- Conduct performance reviews, coaching, and training, improving team accuracy by 20%.
- Oversee internal audits and compliance initiatives, ensuring alignment with CMS and OIG standards.
- Collaborate with internal stakeholders to resolve discrepancies and optimize workflows.
Team Lead – Medical Coding
RAF Solutions LLP (formerly EZDI, AGS Health)
Ahmedabad
06.2020 - 11.2024
- Managed 30+ coders, achieving 95% QA accuracy in HCC and E&M coding.
- Trained 15+ new hires, reducing onboarding time by 30%.
- Acted as primary client liaison, ensuring SLA compliance and resolving escalations.
- Implemented workflow enhancements to reduce backlogs and improve efficiency.
Senior Medical Coder
GeBBS Healthcare
Aurangabad
04.2019 - 06.2020
- Delivered 98% audit accuracy in ED and HCC coding using 3M Encoder.
- Mentored junior coders, enhancing team performance and compliance.
Senior Medical Coder
Synergy Medsol
Ahmedabad
09.2018 - 03.2019
- Specialized in Worker’s Compensation and Internal Medicine coding.
- Maintained 100% compliance with payer-specific and AHIMA guidelines.
Medical Coder
Ascent Business Solutions
Ahmedabad
08.2016 - 09.2018
- Improved ED & E&M coding turnaround time by 15% using EPIC.
- Supported denial management and documentation correction.
Medical Coder
GeBBS Healthcare
Ahmedabad
05.2015 - 08.2016
- Initiated career in ED coding, ensuring accuracy and compliance.
- Conducted QA reviews for internal candidates and performance improvement plans.
Education
MBA - Operations Management
DAIMSR, Nagpur University
01.2015
Bachelor of Pharmacy -
SGBAU Amravati University
01.2010
Skills
- Coding & Compliance: ICD-10-CM, CPT, HCPCS, HCC, CMS/HIPAA Compliance
- Domain – ED profee and Facility coding, E&M Internal Medicine, Worker compensation, Hospital coding, Risk Adjustment and Hospital Management
- Operational Leadership: KPI Management (Productivity, Quality, TAT, Attendance, Attrition), SOP Development, Business Planning
- Quality & Auditing: QA Protocols, Internal/External Audits, Denial Management, Compliance Reporting, BQM
- Client and stakeholder management: SLA adherence, client communication, cross-functional collaboration, escalation management
- Team Management: Performance Reviews, Coaching, Training, Conflict Resolution, Retention Strategies
- Tools & Technology: EPIC, 3M Encoder, Athena, eClinicalWorks, CAC, Veri code, Daisy Bill, Citrix, Excel, PowerPoint
- Validation – Clinical data improvement, Data annotation, Research analysis, AI health Analysis, Medial record review, RWE (Real world evaluation), Healthcare data analysis
- Data Analysis – Clinical Data Analysis for Cancer Medication, Denial management, NCCI and LCD coverage, Prospective clinical data improvement
- Project Management: Experience in managing projects, including the implementation of new systems or processes to enhance revenue cycle efficiency
- Organizational Skills: Excellent organizational skills to manage multiple tasks and priorities, ensuring timely and accurate processing of claims
Certification
- Certified Coding Specialist (CCS) – AHIMA (Active)
- Six sigma Yellow Belt
ADDITIONAL HIGHLIGHTS
- Led campus hiring and recruitment for HCC coders.
- Proficient in Excel (PivotTables, VLOOKUP), PowerPoint, and operational analytics.
- Actively contributed to internal audits and compliance readiness.
- Developed and implemented retention strategies, reducing attrition rates.
Timeline
Deputy Manager – Medical Coding
Corro Health
02.2025 - Current
Team Lead – Medical Coding
RAF Solutions LLP (formerly EZDI, AGS Health)
06.2020 - 11.2024
Senior Medical Coder
GeBBS Healthcare
04.2019 - 06.2020
Senior Medical Coder
Synergy Medsol
09.2018 - 03.2019
Medical Coder
Ascent Business Solutions
08.2016 - 09.2018
Medical Coder
GeBBS Healthcare
05.2015 - 08.2016
MBA - Operations Management
DAIMSR, Nagpur University
Bachelor of Pharmacy -
SGBAU Amravati University
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