Team Lead - Quality ( Medical Coding )

Openings for Team Lead - Quality Medical coding !!!

Designation: Team Lead - Quality
Experience: 7+ Years

Joining Type: Immediate

Specialities : ED, EM, Surgery, Multispeciality Denials.

Shift: Day(9:00 AM - 6:00 PM), Saturday & Sunday week-off

Certification Mandatory!!!

Job Summary

We are seeking an experienced and detail-oriented Quality Team Lead Medical Coding to lead and manage the quality assurance function for medical coding operations. The role is responsible for ensuring coding accuracy, compliance with client and regulatory requirements, and consistent adherence to established coding guidelines.

Key Responsibilities

Quality Management

• Lead the day-to-day activities of the medical coding quality team and ensure timely completion of quality audits.
• Establish and maintain quality standards, audit methodologies, sampling plans, and quality benchmarks.
• Monitor coding accuracy and ensure compliance with ICD-10-CM, CPT, HCPCS, NCCI, and applicable payer/client-specific guidelines.
• Review audit findings to ensure accuracy, consistency, and appropriate interpretation of coding guidelines.
• Track quality KPIs such as accuracy, critical errors, defect rates, productivity, and audit turnaround time.

Required Qualifications

• Bachelors degree in Life Sciences, Nursing, Health Information Management, Medical Coding, or a related healthcare field.
• Professional medical coding certification such as CPC, CCS, CCA, or equivalent is preferred/required based on business needs.
• Strong knowledge of medical terminology, anatomy, physiology, and healthcare documentation.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Good understanding of payer guidelines, NCCI edits, medical necessity, and compliance requirements.

Experience

• 7-10 years of overall medical coding experience, with relevant experience in quality/audit functions.
• Experience handling multiple specialties, complex charts, or high-volume coding environments

Location : KOSMO ONE, Ambattur , Chennai

Interested Candidate can forward your Resume or Call to the below

HR Name: Anupriya

Whatsapp: 7200538735

Contact :9600602051

Mail id : [email protected]