QA/Process Specialist - Medical Coding

Overview

Responsible for the day-to-day production and quality functions of a team of medical coders, meeting client production goals and coding accuracy goals.

What you'll do

• Monitor performance of all coding staff using key metrics including daily coding volume, assignments worked, client project deadlines and coding accuracy performance, to achieve and maintain a 95% coding quality accuracy rate.
• Escalate production and QA concerns or roadblocks to the Manager for involvement as needed, and work closely with training team members to communicate progress across the team to the Manager.
• Review production and quality accuracy reporting and/or system reports on progress for all assigned projects and share feedback.
• Motivate team members through effective training and coaching to improve quality and professionalism on work assignments; conduct monthly team meetings and annual performance evaluations.
• Monitor and maintain team attendance records and time sheets for coders.
• Complete special projects, such as a full coding audit, and other duties as assigned in a timely manner.
• Mentor staff to maximize performance and potential, and assist in maintaining and monitoring team member job satisfaction and morale.
• Help the supervisor prepare daily operational reports, provide feedback about challenges, and participate in client interactions and internal stakeholder meetings.
• Focus on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with standards.
• Update coding skills and knowledge by participating in coding team meetings and educational conferences.

What you'll need

• Demonstrated domain expertise in quality processes related to meeting production schedules and the coding of medical diagnoses and treatment practices.
• Deep understanding of both the production and quality assurance coding process and guidelines in EM OP coding.
• Analytical and problem-solving skills, and the ability to use data to identify patterns and trends.
• Experience providing training, coaching, and development to team members, and providing regular feedback on work performance.
• Strong communication skills to convey information across multiple team members with varying skill sets.
• Maintain a high degree of professional and ethical standards.
• Extensive knowledge of coding principles and guidelines.
• Extensive knowledge of hospital/technical and professional services reimbursement systems.
• Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
• Strong managerial, leadership, and interpersonal skills.
• Graduate or Post Graduate in Life Science, Pharmacy, Physiotherapy, Zoology, or Microbiology.
• 5+ years of industry experience.
• CPC (Certified Coding Professional) or CCS (Certified Coding Specialist).

Details

• Location: Bangalore, India.
• Position level: Associate.