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