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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 projectsPartner with clients to pitch coding solutions and educate providers on compliant coding methodologyOwn client relationships, service delivery, and internal stakeholder managementSet direction and operating structure for coding teams; build frameworks that drive quality and ROIResolve client delivery escalations by working directly with team members and client physiciansBuild feedback loops between quality assessment, training, and operationsDrive attrition control, team engagement, and a strong client satisfaction track recordEstablish best practices across coding services; stay current via coding/reimbursement workshops and certificationsReview 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 recommendationsStrong command of ICD-10, E&M, and Pathology & Laboratory codingProven experience supervising quality reviews for a delivery teamCurrently a Vice President / Director with 3.5+ years, or Senior Director with 1.5+ years, in current designation .