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Deputy Director - Quality (Medical Coding)

ConfidentialChennai

8 days ago

Job description

We are seeking an experienced Medical Coding leader to join our team in Chennai as Deputy Director . This leadership role involves overseeing quality audits , implementing best practices, driving error reduction initiatives, leveraging automation tools , and fostering a culture of excellence and compliance. This position will play a critical role in enhancing the organization's adherence to regulatory requirements, optimizing processes, and mentoring a team to achieve quality benchmarks.

Key Responsibilities

Oversee comprehensive quality audits for coding across in-house teams and multiple vendors.
Enforce coding best practices to mitigate risks such as missed diagnoses, over-coding, or under-coding.
Drive external and internal audit programs aimed at improving compliance and accuracy .
Design and elevate quality control frameworks to ensure coding accuracy and operational efficiency.
Lead initiatives to reduce error rates , enhance coding precision, and boost productivity.
Implement cutting-edge, AI-enabled audit solutions such as automated coding reviews and real-time QA tools.
Monitor and report on Accuracy KPIs , including Missed Error Rate, Extra Error Rate, and Inter-Rater Reliability.
Utilize robust data analytics to assess trends in coding accuracy and identify compliance risks.
Develop executive dashboards and reports to provide insights into quality performance metrics .
Partner with Operations and Training teams to address and resolve coding discrepancies while implementing corrective action plans.
Direct, mentor, and inspire a team comprising QA Managers, Auditors, and Trainers across diverse locations.
Develop and execute quality training programs to enhance coder proficiency and consistency.
Cultivate a culture centered on continuous improvement, compliance , and operational excellence.

Job Requirements

Deep understanding of medical coding standards and audit processes .

Experience with automation and AI solutions in coding audits.

Proficiency in developing and managing quality metrics dashboards .

Strategic leadership and ability to influence cross-functional teams.

Strong problem-solving and decision-making capabilities.

Excellent communication and stakeholder management skills.

Qualifications

Minimum experience in Healthcare Revenue Cycle Management (RCM) and Quality Assurance.

At least core multispecialty coding expertise .

Certified Six Sigma Black Belt / Master Black Belt from recognized institutions with proven project experience.

Expertise in coding audit frameworks , accuracy improvement strategies, and regulatory compliance.

Certified in AAPC or AHIMA ( e.g., CPC, CCS, RHIT, RHIA is preferred).

Proficiency with AI-powered coding audit tools , process digitization, and automation technologies.

Demonstrated leadership skills with a proven track record of stakeholder management and driving change.

Strong analytical skills with experience in Quality Metrics, Root Cause Analysis (RCA) , and Lean Six Sigma .

Skills Required

Revenue Cycle Management, Medical Coding, Quality Auditing, Data Analytics, Six Sigma Black Belt, Leadership Skills

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Director Medical Coding • Chennai