27 Aug
|
Med-Metrix
|
Chennai
27 Aug
Med-Metrix
Chennai
Position Summary:
We are seeking a detail-oriented and experienced Medical Coding QA Supervisor with specialized expertise in Same Day Surgery (SDS) and Observation coding to lead our quality assurance team. The ideal candidate will oversee the auditing task of QAs, ensure compliance with regulations and organizational standards, and support continuous improvement in coding accuracy and productivity. This role requires advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems with a strong focus on SDS procedures.
Key Responsibilities
Supervise daily operations of the coding QA team, specifically SDS & Observation audits. Conduct internal audits to evaluate accuracy, consistency, and regulatory compliance in SDS coding, when needed. Monitor coding performance and quality metrics; provide actionable feedback to improve team effectiveness. Develop, implement, and maintain coding QA policies and procedures in collaboration with leadership. Collaborate with coding education staff to identify training needs and deliver targeted education based on audit findings.
Act as a subject matter expert for SDS & Observation coding questions and escalated cases. Ensure coding practices align with federal guidelines, payer-specific policies, and organizational goals. Provide detailed reporting and analysis of audit results to leadership, identifying trends and risks. Maintain up-to-date knowledge of coding standards, CMS regulations, payer guidelines, and industry best practices. Participate in hiring, onboarding, and mentoring QA. Support coding projects, system upgrades, and other initiatives as assigned.
Qualifications
Education & Certification:
Associate or bachelor’s degree in health information management, Health Sciences, or related field preferred. Active certification: Certified Skilled Coder (CPC), Certified Coding Specialist (CCS), or equivalent required. CPMA certification is preferred but not required.
Experience
Minimum 6 years of medical coding exper
📌 Supervisor, Quality Analysis (Chennai)
🏢 Med-Metrix
📍 Chennai