Short Description: Quality Manager – coding Auditing will lead quality review and auditing of surgery coding while managing a team of auditors. The role focuses on ensuring accuracy, compliance, and continuous improvement in coding quality. The manager will also develop training materials, process documentation, and drive process enhancements.
• Manage and lead the surgery coding quality auditing team to ensure high standards of accuracy and compliance.
• Perform and oversee surgical coding audits and reviews in alignment with payer guidelines.
• Develop training materials, process manuals, handbooks, and presentations for team development.
• Provide feedback, coaching, and performance monitoring for auditors and SMEs.
• Analyze audit results, benchmark performance, and implement quality improvement initiatives.
• Research and stay updated on coding guidelines, payer requirements, and surgery coding updates.
• Collaborate on automation initiatives, including use of tools and data extraction solutions.
• Ensure timely communication, reporting, and escalation of issues to management.
Qualifications:
• Masters in Biology/B.
Pt/M.
Pt, B,Pharm/M.
Pharm/B.
Sc Nursing/B.
A.
M.
S/B.
H.
M.
S
• Certifications required: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CIC (Certified Inpatient Coder).
• Minimum 10 years of experience in medical coding.
• Minimum 5 years of experience in surgery coding quality auditing.
• Strong understanding of payer processes related to surgery coding.
• Hands-on experience in quality auditing for surgical coding.
• Proficiency in Microsoft Office tools (Excel, Word, Outlook, PowerPoint).
• Strong project management, analytical, and multitasking skills.
• Excellent verbal and written communication skills.
• Experience in strategic management and performance benchmarking.
• Robust knowledge of surgical coding guidelines and clinical concepts.
• Ability to research coding updates and resolve coding-related issues.
• Flexibility and adaptability in a fast-paced work environment.
• Training from office is mandatory; full-time role (40 hours per week).
📌 Manager (Chennai)
🏢 EXL
📍 Chennai