AGM - HIM Services - Quality

CorroHealth Infotech Private Limited; Dadri; On-site; INR 900,000 - 1,200,000; Full time

Job summary

CorroHealth Infotech Private Limited is looking for an experienced Quality Manager to oversee medical coding quality audit teams in Dadri, Uttar Pradesh. The role involves managing daily workflows, ensuring SLA compliance, and mentoring staff. Candidates must have a Bachelor's degree in Health Information Management and at least 7 years of experience in revenue cycle management.

Strong leadership, EHR system knowledge, and relevant certifications are essential. The position requires a proactive approach to performance management and technology deployment.

Qualifications

• Minimum of 7–9 years of experience in healthcare revenue cycle management.
• At least 4 years in a medical coding quality supervisory or management role.
• Strong operational experience with major EHRs required.

Responsibilities

• Manage daily workflows for medical coding quality audit teams.
• Ensure transactional accuracy targets are met.
• Monitor client-specific quality metrics and conduct quality reviews.

Skills

Healthcare revenue cycle management

Medical coding supervision

Leadership

Lean methodologies

EHR systems (Epic, Cerner)

Education

Bachelor's degree in Health Information Management or related field

Lean Six Sigma Green Belt certification

AAPC or AHIMA certifications (CPC, CCS)

Tools

Encoder software (3M)

Automated billing/coding platforms

Job description

Key Responsibilities

1. Quality Assurance & Performance Management
   • Daily QA Operations: Manage daily workflows for the medical coding quality audit teams across multiple specialties.
   • Accuracy Governance: Maintain and enforce transactional accuracy targets, ensuring the delivery team consistently meets or exceeds the client SLAs.
   • Feedback Loops: Establish structured feedback mechanisms to communicate audit findings to production managers, facilitating rapid, data‑driven corrective actions.
2. Process Transformation & Technology Execution
   • Automation Deployment: Act as the hands‑on project manager for deploying autonomous coding systems, CAC software, and workflow optimization tools.
   • Workflow Optimization: Identify operational bottlenecks, eliminate redundancies, and apply Lean methodologies to reduce turnaround times and operational costs.
   • Root‑Cause Analysis: Perform deep‑dive denial analyses and partner with the Training & Operations to deploy targeted remediation plans.
3. Client & People Management
   • SLA Compliance: Monitor, analyze, and present client‑specific quality metrics, serving as the primary point of contact for routine quality reviews and audit rebuttals.
   • Team Development: Recruit, mentor, and conduct performance appraisals for Quality Lead Auditors and Subject Matter Experts (SMEs).

Required Qualifications

• Education & Certifications
  • Degree: Bachelor’s degree in Health Information Management (HIM), Life Sciences, Healthcare Administration, or a related field.
  • Core Credentials: Must hold active certifications from AAPC or AHIMA:
    • CPC (Certified Professional Coder)
    • CCS (Certified Coding Specialist)
    • CIC (Certified Inpatient Coder) or COC (Certified Outpatient Coder) is preferred.
  • Process Certification: Lean Six Sigma Green Belt certification is highly desirable.
• Experience & Skills
  • Domain Expertise: Minimum of 7–9 years of experience in healthcare revenue cycle management (RCM), with at least 4 years in a direct medical coding quality supervisory or management role.
  • Tech Literacy: Strong operational experience working with major EHRs (Epic, Cerner), encoder software (3M), and automated billing/coding platforms.
  • Leadership Scope: Proven track record of managing delivery teams within an offshore/onshore global delivery model.

Physical Demands

Regular eye–hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6‑8 hours a day and function in an environment with constant interruptions is required. At times, team members are subject to sitting for prolonged periods. Infrequently, team members must be able to lift and move material weighing up to 20 lbs. Team members may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.