Medical Coding Vice President

Director / Senior Director – Medical Coding & Denial Management R3 | Location: India | Full-time R3 is hiring a Director / Senior Director to lead our client's end-to-end medical coding and denial management operations. This is a hands-on leadership role for a certified coder who can drive coding quality, client relationships, and team performance at scale. What You'll Do Lead end-to-end medical coding and denial coding operations across specialties, applying medical terminology, AMA guidelines, anatomy, physiology, and procedural knowledge (lab coding experience a plus) Guide the team on fixing front-end denials and rejections, and own start-up/transition projects Partner with clients to pitch coding solutions and educate providers on compliant coding methodology Own client relationships, service delivery, and internal stakeholder management Set direction and operating structure for coding teams; build frameworks that drive quality and ROI Resolve client delivery escalations by working directly with team members and client physicians Build feedback loops between quality assessment, training, and operations Drive attrition control, team engagement, and a strong client satisfaction track record Establish best practices across coding services; stay current via coding/reimbursement workshops and certifications Review payer policies regularly and cascade updates to the team What You Bring Active coding certification (CPC/CCS or equivalent) 15 years in medical coding, including coding audits, pre-adjudication, workflow design, and lab panel recommendations Strong command of ICD-10, E&M, and Pathology & Laboratory coding Proven experience supervising quality reviews for a delivery team Currently a Vice President / Director with 3.5 years, or Senior Director with 1.5 years, in current designation