Senior Quality Leader – Medical Coding & QA

Calpion Inc.; Day (FL); On-site; USD 75,000 - 95,000; Full time

Job summary

Calpion Inc. is seeking a Quality Manager for Medical Coding to lead the Quality Assurance team in ensuring coding accuracy and regulatory compliance. The ideal candidate will have expertise in Hospital Facility and Physician coding, along with strong leadership skills to drive team development.

The role also involves implementing a Quality Management System and conducting regular audits. A collaborative and innovative company culture awaits the right candidate, alongside competitive salary as per industry standards.

Qualifications

• Strong expertise in RCM coding for Hospital Facility and Physician (Professional) Coding.
• Comprehensive understanding of Anatomy, Physiology, Pathophysiology, Pharmacology, and clinical documentation.
• Ability to interpret Operative Reports, ED charts, Surgery records, and complex documentation.

Responsibilities

• Lead and manage a team of 100+ Quality Analysts.
• Ensure high-quality coding delivery aligned with client SLAs and industry guidelines.
• Identify opportunities for process improvement and workflow optimization.

Skills

RCM coding expertise

Leadership

Compliance understanding

Communication skills

Analytical ability

Education

Certified Professional Coder (CPC, CCS, CIC, COC, CCS-P)

Job description

Calpion Inc. is seeking a Quality Manager for Medical Coding to lead the Quality Assurance team in ensuring coding accuracy and regulatory compliance. The ideal candidate will have expertise in Hospital Facility and Physician coding, along with strong leadership skills to drive team development.

The role also involves implementing a Quality Management System and conducting regular audits. A collaborative and innovative company culture awaits the right candidate, alongside competitive salary as per industry standards.