Quality Assurance Leader- HIM IP (DRG)

Gebbs Healthcare Solutions; Aurangabad; On-site; INR 800,000 - 1,400,000; Full time

Job summary

Gebbs Healthcare Solutions is seeking an experienced QA Lead in Medical Coding to oversee DRG coding quality and team performance. The role focuses on DRG validation, diagnosis reporting, and ensuring adherence to client requirements.

You will mentor coders, lead QA audits, and drive quality improvements across the team while collaborating with operations and client stakeholders to maintain DRG integrity.

Qualifications

• 5-7 years of experience in Medical Coding and Quality Assurance.
• 6-12 months of experience in leading or managing a team.
• Strong analytical and leadership skills with client-facing communication.

Responsibilities

• Perform second-level QA audits and ensure compliance with coding guidelines and client requirements.
• Mentor and support QA team members to achieve quality and operational goals.
• Analyze audit findings, drive root cause analysis, and implement quality improvements.
• Prepare quality reports, dashboards, and client review summaries.
• Collaborate with Operations, Training, and Client stakeholders to improve coding accuracy and DRG integrity.

Skills

IP DRG coding

DRG validation

Principal Diagnosis selection

Secondary Diagnosis reporting

CC/MCC capture

ICD-10-PCS coding

Job description

Job Description:

• Strong knowledge of IP DRG coding, DRG validation, Principal Diagnosis selection, Secondary Diagnosis reporting, CC/MCC capture, and ICD-10-PCS coding.
• Minimum 5-7 years of experience in Medical Coding and Quality Assurance.
• Minimum 6-12 months of experience in leading or managing a team.
• Manage, mentor, and support QA team members to achieve quality and operational goals.
• Perform second-level QA audits and ensure compliance with coding guidelines, client requirements, and regulatory standards.
• Analyze audit findings, identify quality trends, and conduct root cause analysis.
• Provide audit feedback, coaching, and education to coders and QA team members.
• Conduct quality calibrations and drive quality improvement initiatives.
• Prepare and present quality reports, dashboards, and client review summaries.
• Collaborate with Operations, Training, and Client stakeholders to improve coding accuracy and DRG integrity.
• Strong analytical, leadership, client reporting, and professional communication skills.
• Ability to manage team performance, prioritize workload, and drive continuous quality improvement.