Quality Assurance Leader-Inpatient Medical Coding

Job Title: Team Lead – Medical Coding QA – IP DRG

Location: Aurangabad

Work Mode: Work from Office (Mandatory)

Role Overview

We are looking for an experienced Medical Coding QA Team Lead who will be responsible for ensuring coding quality, conducting second-level QA audits, and managing a team of medical coders. The role involves maintaining high coding accuracy, supporting team development, and ensuring compliance with client and regulatory standards.

Key Responsibilities

• Perform second-level QA audits on medical coding to ensure accuracy and compliance with coding guidelines.
• Ensure adherence to ICD-10-CM, ICD-10-PCS, and DRG coding standards.
• Lead and manage a team of coders while ensuring productivity and quality targets are met.
• Provide feedback, coaching, and training to team members based on audit findings.
• Review coding accuracy and identify areas for improvement and corrective actions.
• Prepare and share quality reports, dashboards, and client updates.
• Handle client communication and reporting related to coding quality and performance.
• Ensure compliance with organizational quality standards and client expectations.
• Support process improvements and quality enhancement initiatives.
• Maintain documentation and follow audit protocols and compliance requirements.

Required Skills & Qualifications

• 5+ years of experience in Medical Coding / Coding QA.
• 6–12 months of documented Team Lead experience.
• Strong knowledge of IP DRG coding guidelines.
• Experience in performing second-level QA audits.
• Strong team management and leadership skills.
• Good client communication and professional email writing skills.
• Exposure to Epic, Optum, 3M, and Cerner platforms.

Education & Certifications

• Life Science Graduate
• CPC , COC ,CCS or CIC Certification - Mandate