Associate Director - Medical Coding Quality

Position Title : Associate Director (Coding Quality).

Location: Hyderabad.

Shift Timings: 12:00 to 21:00 Hrs.

Responsibilities:.

- Lead a team of quality senior managers/managers for multiple business units/customers and across locations.

- Lead closer calibrated quality outcomes for end customers.

- Drive customer satisfaction for quality of coding output including corrective and preventive actions for customer quality concerns.

- Build and operate a predictable quality model and well aligned outcome-based quality assurance unit for coding.

- Actively collaborate new customer engagements for better quality outcomes including calibration, SOP inputs.

- Drive the structure and governance for ongoing customer calibrations.

- Collaborate and drive coding compliance reviews, alignment, and actions.

- Drive high level of visibility on business performance and measures to relevant internal stakeholders.

- Drive and guide analytics for comprehensive quality dashboards along with business insights and publish for internal stakeholders and leaders.

- Create effective quality sampling process and governance.

- Drive QA effectiveness and alignment with customer perceived quality.

- Collaborate with product team to build and manage comprehensive QA workflow tool along with reporting and insights capabilities.

- Drive value-based initiatives including upstream opportunities from AR to coding, coding denials to abstract coding as well coding optimization, benchmarking, and CDI/provider education initiatives as well technology initiatives such as autonomous coding, coding edits/scrubbers and auto fixes.

- Drive high performing quality operations with closer governance on KPIs such as productivity, absenteeism, shift adherence, utilization, productive time etc.

- Drive high people engagement including framework for periodical connects including 1 to 1, skips, FGDs as well use the people survey tool to drive meaningful actions, EWS and employee retention and govern attrition.

- Manage all exceptions and escalations for quality team.

- Closely work with operations to meet dynamic business needs on quality support.

- Govern transactional quality operations as well drive strategic initiatives and implement best QA practices.

- Drive automation and transformation initiatives.

- Exposure to digital solutions, automation, AI and analytics and ability to implement digital solutions.

- Experience: Minimum 18 Years of Experience in managing Multispecialty Coding in RCM/US healthcare is preferred along with understanding on Quality Concepts.