24 Oct
|
CorroHealth
|
Noida
Greetings from Corrohealth!!
We are hiring AM-Multispecialty Quality for Noida Location
:
The Multispecialty Quality Lead is responsible for overseeing end-to-end quality assurance activities across multiple medical coding specialties. The role focuses on ensuring coding accuracy, compliance with client and regulatory requirements, driving continuous quality improvement initiatives, and leading quality teams to achieve organizational and client-specific quality goals.
Key Responsibilities
- Lead and manage day-to-day quality assurance operations across multiple coding specialties.
- Conduct and oversee quality audits to ensure coding accuracy, compliance, productivity, and client expectations are consistently met.
- Serve as the primary point of contact for all quality-related queries from internal stakeholders and clients.
- Analyze audit findings, identify error trends, perform Root Cause Analysis (RCA), and implement Corrective and Preventive Action (CAPA) plans.
- Monitor and evaluate quality metrics, accuracy scores, and performance indicators for various coding projects.
- Develop and implement quality improvement initiatives to enhance coding accuracy and operational efficiency.
- Conduct regular calibration sessions with coding teams and clients to ensure consistency in audit methodologies and quality standards.
- Prepare and maintain quality manuals, audit tools, training modules, and process documentation.
- Generate monthly quality reports, dashboards, scorecards, and trend analyses for management and clients.
- Drive process standardization and best practices across specialties.
- Collaborate with Operations, Training, and Client Relationship teams to improve overall delivery performance.
- Manage workforce planning and resource allocation within the quality function based on business forecasts.
- Mentor, coach, and develop quality analysts and auditors to build a high-performing quality team.
- Support client audits, compliance reviews, and process improvement initiatives.
Required Qualifications:
- Bachelor's degree in Life Sciences, Pharmacy, Nursing, Physiotherapy, Biotechnology, or related healthcare disciplines.
- Certified Skilled Coder (CPC), CCS, CCS-P, CIC, COC, or equivalent certification from AAPC or AHIMA.
- 7 to 15 years of experience in Medical Coding and Quality Assurance.
- Minimum 2 years of experience in team management or leadership roles.
- Strong understanding of ICD-10-CM, CPT, HCPCS, and payer-specific coding guidelines.
- Expertise in quality auditing, error categorization, RCA, CAPA, and quality improvement methodologies.
- Excellent communication, presentation, and stakeholder management skills.
- Advanced proficiency in Microsoft Excel, PowerPoint, and reporting tools.
Preferred Experience:
- Experience handling multiple specialties such as E&M;, Surgery, Radiology, Pathology, Emergency Medicine, Observation, Anesthesia, and HCC.
- Client-facing experience and participation in quality review meetings.
📌 AM-Multispecialty Quality (Noida)
🏢 CorroHealth
📍 Noida