QA/Process Specialist - Medical Coding

Huron Consulting Group Inc.; Bengaluru; On-site; INR 1,200,000 - 2,000,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) plan with employer match

Employee stock purchase plan

Paid Time Off and parental leave

Wellness program and on-site workshops

Job summary

Huron Consulting Group Inc. is seeking an Associate-level coder in Bengaluru, India to lead day-to-day production and quality functions for a team of medical coders.

The role focuses on achieving high coding accuracy, coaching staff, and delivering timely project updates to stakeholders. Ideal candidates will have 5+ years in healthcare coding, CPC or CCS certification, and strong communication, analytical, and problem-solving skills.

Qualifications

• Graduate or Post Graduate in Life Science, Pharmacy, Physiotherapy, Zoology, Microbiology.
• 5+ years of industry experience.
• CPC – Certified Coding Professional or CCS - Certified Coding Specialist.

Responsibilities

• Monitor performance of coding staff using metrics to achieve 95% coding quality accuracy.
• Escalate production and QA concerns to the Manager as needed.
• Mentor staff through training and coaching to improve quality and professionalism.
• Conduct monthly team meetings and annual performance evaluations.
• Maintain attendance records and timesheets for coders.
• Complete special projects such as full coding audits.

Skills

Communication skills

Attention to detail

Problem solving

Technical skills

Education

Graduate or Post Graduate in Life Science/Pharmacy/Physiotherapy/Zoology/Microbiology

5+ years of industry experience

CPC – Certified Coding Professional

CCS - Certified Coding Specialist

Tools

EM OP coding guidelines

Job description

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. Responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client production goals and coding accuracy goals. Help supervisor in preparing daily operational reports, provide feedback about the challenges and participates in the client interactions and internal stakeholder meetings. Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role.

JOB DETAILS

• Monitors performance of all coding staff using key metrics including, but not limited to daily coding volume, assignments worked, client project deadlines and coding accuracy performance to achieve and maintain a 95% coding quality accuracy rate.
• Escalate Production and QA concerns or roadblocks to the Manager for involvement as needed.
• Work closely with the Training teams members to communicate progress across the Team to the Manager.
• Reviews both production and quality accuracy reporting and/or system reports on progress for all assigned projects and share feedback.
• Motivates team members through effective training and coaching to improve quality and professionalism on work assignments. Conducts monthly team meetings and annual performance evaluations with team members.
• Monitors and maintains team attendance records and time sheet for coders.
• Completes any special projects, such as full coding audit, and other duties as assigned in a timely manner.
• Mentors staff to maximize performance and potential.
• Assist in maintaining and monitoring team member job satisfaction and morale.
• Demonstrated domain expertise in quality process related to meeting production schedules and the coding of medical diagnoses and treatment practices.
• Deep understanding of both the production and quality assurance coding process and guidelines in EM OP coding.
• Analytical and problem solving skills, and the ability to use data to identify patterns and trends.
• Experience providing training, coaching, and development to team members, as well as providing regular feedback regarding work performance.
• Must possess strong communication skills to convey information across multiple team members with varying skill sets.
• Maintains a high degree of professional and ethical standards.
• Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards.
• Focuses on updating coding skills and knowledge by participating in coding team meetings and educational conferences.
• Extensive knowledge of coding principles and guidelines.
• Extensive knowledge of hospital/technical and professional services reimbursement systems.
• Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
• Strong managerial, leadership, and interpersonal skills.

QUALIFICATIONS

• Graduate or Post Graduate in Life Science, Pharmacy, Physiotherapy, Zoology, Microbiology discipline
• 5+ years of industry experience
• CPC – Certified Coding Professional or
• CCS - Certified Coding Specialist

Position Level Associate Country India

At Huron, we’re redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client’s challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work…together.

Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron. Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.

Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.

Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.