Quality Assurance Leader-Inpatient Medical Coding

india, Maharashtra, Chhatrapati Sambhajinagar

Full–time

Posted on: 6 days ago

Job Title: Team Lead – Medical Coding QA – IP DRG

Location: Aurangabad

Work Mode: Work from Office (Mandatory)

Role Overview

We are looking for an experienced Medical Coding QA Team Lead who will be responsible for ensuring coding quality, conducting second-level QA audits, and managing a team of medical coders. The role involves maintaining high coding accuracy, supporting team development, and ensuring compliance with client and regulatory standards.

Key Responsibilities
  • Perform second-level QA audits on medical coding to ensure accuracy and compliance with coding guidelines.
  • Ensure adherence to ICD-10-CM, ICD-10-PCS, and DRG coding standards.
  • Lead and manage a team of coders while ensuring productivity and quality targets are met.
  • Provide feedback, coaching, and training to team members based on audit findings.
  • Review coding accuracy and identify areas for improvement and corrective actions.
  • Prepare and share quality reports, dashboards, and client updates.
  • Handle client communication and reporting related to coding quality and performance.
  • Ensure compliance with organizational quality standards and client expectations.
  • Support process improvements and quality enhancement initiatives.
  • Maintain documentation and follow audit protocols and compliance requirements.

  • Required Skills & Qualifications
  • 5+ years of experience in Medical Coding / Coding QA.
  • 6–12 months of documented Team Lead experience.
  • Strong knowledge of IP DRG coding guidelines.
  • Experience in performing second-level QA audits.
  • Strong team management and leadership skills.
  • Good client communication and professional email writing skills.
  • Exposure to Epic, Optum, 3M, and Cerner platforms.

  • Education & Certifications
  • Life Science Graduate
  • CPC , COC ,CCS or CIC Certification - Mandate