Evaluation & Management Coding Team Lead

About

Calpion is an 18-year-old Dallas-headquartered technology firm that offers customers artificial intelligence solutions by building custom deep learning and machine learning algorithms, custom enterprise application development and maintenance, RPA solutions, cloud services, Salesforce consulting, customized invoice management software solutions, and other technology services. We also offer automated bot-driven medical billing services. Our healthcare offering includes a Salesforce platform-based practice management and billing software with automated patient e-statements and a payment portal.

Along with being SOC-certified and HIPPA-compliant, we have:

• Certified experts in deep learning & machine learning to provide intelligent solutions for your business.
• Helped Fortune 500 companies build custom enterprise-level applications.
• Provide remote & accurate AutoCAD Drawing, Drafting, 2D &3D modeling, and design services.
• Strategic partnerships with Microsoft, Amazon, SAP, HP, Worksoft, Microfocus, Tricentis, etc.
• Partnered with UiPath to provide RPA solutions.
• We are headquartered in Dallas with multiple global Centers of Excellence around the industry.
  ‍

Focus: Healthcare, Logistics, Supply chain, Biotechnology, Hospitality, Manufacturing, and Airlines.
‍

Life at Calpion Inc.

Calpion offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth. Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence.

At Calpion, you'll be part of a vibrant team that thrives on creativity and problem-solving. You'll have the chance to work on cutting-edge projects, harnessing the latest technologies and methodologies to deliver intelligent solutions that make a real difference for our clients.

Calpion prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance. If you are enthusiastic about joining a vibrant organization that values your input, Calpion is the ideal place to pursue your career goals.
‍

Job Role: E&N Coding Team Lead

Department: RCM – Evaluation & Management (E&M) / E&N Coding

Designation: Team Lead

Location: Bengaluru, India

Reporting To: Coding Manager / Operations Manager
‍

Job Summary

The E&N Coding Team Lead is responsible for supervising the coding team handling Evaluation & Management (E&M) and related specialities. The role ensures high-quality coding, workflow efficiency, compliance with payer guidelines, and timely delivery of client SLAs. The Team Lead also supports audits, training, performance management, and continuous operational improvements.
‍

Key Responsibilities

Operational & Team Management

• Lead and manage a team of E&N/E&M coders to achieve daily, weekly, and monthly targets.
• Allocate work based on volume, complexity, and coder competency levels.
• Monitor team productivity and quality metrics, and ensure compliance with client SLAs.
• Conduct daily huddles, share updates, and communicate operational priorities.
• Ensure timely submission of reports, dashboards, and work queues.

Quality & Compliance

• Review coded charts for accuracy and ensure adherence to CPT, ICD-10-CM, HCPCS, and payer-specific guidelines.
• Collaborate with the Quality Auditor to identify trends, errors, and root causes.
• Drive corrective action plans to reduce errors and improve coding accuracy.
• Ensure all coders follow compliance guidelines and company policies.

Training & Development

• Identify skill gaps and provide coaching, refresher training, and guidance.
• Assist new coders with onboarding, process training, and evaluation.
• Maintain team knowledge on regulatory changes, payer updates, and code set revisions.

Stakeholder & Client Coordination

• Serve as a point of contact for internal teams and client counterparts.
• Participate in client calls, audits, feedback sessions, and performance reviews.
• Provide timely updates on production, quality issues, and escalations.

People Management

• Drive employee engagement, recognition, and retention initiatives within the team.
• Conduct performance appraisals, one-on-one discussions, and mentoring sessions.
• Manage shift schedules, attendance, leave approvals, and backup planning.

Process Improvement

• Identify opportunities to optimise workflows, automate reporting, and eliminate inefficiencies.
• Lead initiatives to improve coding quality, reduce denials, and enhance productivity.
• Support operational excellence initiatives and contribute to the standardisation of processes.
  ‍

Skills & Competencies Required

Technical Skills

• Certified CPC / COC / CIC preferred.
• Strong knowledge of CPT, ICD-10-CM, HCPCS, NCCI edits, MUE rules, and payer-specific coding guidelines.
• Expertise in E&M coding (office, inpatient, observation, ED E&M, consults).
• Familiarity with global billing rules, telehealth coding, and documentation standards.

Managerial & Soft Skills

• Strong leadership and people management abilities.
• Excellent communication and stakeholder management skills.
• Analytical thinking and problem-solving skills.
• Ability to work under pressure and meet tight deadlines.
• Proficiency in Excel, reporting tools, and workflow management systems.
  ‍

Experience & Education

• Bachelor’s Degree or equivalent.
• CPC or equivalent coding certification mandatory.
• Total Experience: 7-10 years
• Relevant experience of 4–6 years of RCM coding experience, with at least 1–2 years in a lead or supervisory role.
• Prior experience in E&M / E&N coding processes is required.
  ‍

Performance Metrics (KPIs)

• Coding accuracy (%)
• Productivity (charts/hour)
• SLA adherence
• Denial reduction contribution
• Team engagement & retention
• Training effectiveness
• Client satisfaction
  ‍

Our Culture & Values

At Calpion, we're not just a company—we're a dynamic culture fueled by six core values: Agile, Collaborative, Innovative, Fun, Inclusive, and Passionate. These values drive our every move:

• Agile: We thrive on change, adapting swiftly to new challenges.
• Collaborative: Together, we achieve greatness through teamwork and diverse perspectives.
• Innovative: We push boundaries, constantly exploring new ideas and solutions.
• Fun: Laughter and camaraderie make our workplace a joyous one.
• Inclusive: Diversity is our strength, ensuring every voice is heard and valued.
• Passionate: We approach every task with dedication and enthusiasm.
  ‍

Join us at Calpion and be part of a culture that's not just about work but innovation, growth, and making an impact.