Team Lead – Quality - Payor (Risk Adjustment coding/HCC) - Hyderabad

ECLAT Health Solutions; Hyderabad; On-site; INR 900,000 - 1,200,000; Full time

Job summary

Eclat-Health-Solutions-4 in Hyderabad is seeking a Team Lead for Quality in Payor (Risk Adjustment coding/HCC). This full-time role requires managing and ensuring the quality of a team of 30-40 coders. The ideal candidate should have 6+ years of experience in risk adjustment coding, along with at least 1 year in a team lead capacity. AAPC/AHIMA certification is preferred. Responsibilities include conducting quality reviews, monitoring KPIs, and ensuring communication of quality standards.

Qualifications

• Minimum of 6 years’ experience in risk adjustment coding.
• 1 year of team lead experience.
• AAPC/AHIMA certification preferred.

Responsibilities

• Manage production and quality of a team of coders.
• Conduct weekly and monthly quality review meetings.
• Publish performance reports and monitor KPIs.
• Identify risks in coding processes.
• Ensure audits and feedback processes run smoothly.

Skills

Risk adjustment coding

Team leadership

Quality review

Communication

Organizational skills

Time management

Education

Bachelor's or Master's in Life Sciences

Job description

Team Lead – Quality - Payor (Risk Adjustment coding/HCC) - Hyderabad

6+ Years

Full-Time

Job Title: Team Lead – Payor (Risk Adjustment coding/HCC)

Department: Production

Reports To: Manager – Payor

Employment Type: Full-time, Mon through Fri, with occasional evening or weekend availability as required for project deadlines.

Eligibility: Minimum of 6 years’ experience in risk adjustment coding and should have been a team lead on paper for 1 year.

No of vacancy: 1

Job Overview: We are seeking a highly motivated and experienced Team Lead – Payor (Risk Adjustment coding/HCC) to manage our risk adjustment coding team. The ideal candidate should be an AAPC/AHIMA certified seasoned operations leader who will be responsible for production and quality of a span of 30-40 coders. This role requires a deep understanding of HCC coding practices and US healthcare regulations.

He/she should lead by example.

What is expected:

• Responsible for team’s production and quality.
• Need to conduct weekly and monthly quality review meetings with coders.
• Present monthly ROB on team’s performance.
• Publish weekly performance report (production and quality) post review.
• Should be able to deliver the base production target is achieved.
• Monitor head count and control attrition.
• Communicate quality standards and expectations to all stakeholders to ensure transparency and accountability.
• Identify potential risks in the coding process impacting outgoing quality and develop strategies to mitigate them.
• Monitor and track key performance indicators (KPIs) related to coding accuracy and compliance.
• Monitor and make sure the audits, feedback mechanism and education process are going seamlessly and take corrective action as needed.

Additional Skills:

• Excellent communication and interpersonal skills.
• Positive attitude, disciplined, and punctual.
• Ability to work independently and collaboratively in a fast-paced environment.
• Strong organizational and time management skills.
• Proficient in basic computer operations and a fast learner.

Educational Qualifications: Bachelor's or Master's in Life Sciences: BAMS, BHMS, BDS, BPT/MPT, B Pharm/M Pharm, B.Sc./M.Sc. (Nursing, Nutrition, Zoology, Biology, Biochemistry, Microbiology, Biotechnology, Genetics, Physician Assistant, etc.)