Deputy Director – Quality (Medical Coding)
Location: Chennai, Tamil Nadu, India
Employment Type: Full-Time
Department: Healthcare Revenue Cycle Management (RCM) / Medical Coding Quality
Job Summary
The Deputy Director – Quality (Medical Coding) is a senior leadership role responsible for overseeing end-to-end coding quality assurance across in-house and vendor operations. The role focuses on strengthening audit frameworks, improving coding accuracy, reducing errors, implementing automation and AI-driven quality tools, and driving a culture of compliance, operational excellence, and continuous improvement across teams.
Key Responsibilities
Quality Audit & Compliance Management
Lead comprehensive quality audits across internal coding teams and external vendors.
Ensure adherence to ICD-10-CM, CPT, HCPCS, and payer-specific coding guidelines.
Drive internal and external audit programs to improve compliance and accuracy.
Enforce coding best practices to reduce risks such as under-coding, over-coding, and missed diagnoses.
Quality Framework Development
Design and enhance coding quality control frameworks and audit methodologies.
Establish standardized processes to improve coding accuracy and operational efficiency.
Implement scalable quality assurance systems across multiple teams and geographies.
Performance Metrics & Analytics
Monitor and manage key quality KPIs including:
Missed Error Rate
Extra Error Rate
Inter-Rater Reliability (IRR)
Utilize data analytics to identify trends, risks, and compliance gaps.
Develop executive-level dashboards and reports for leadership visibility.
Automation & Digital Transformation
Implement AI-enabled and automated audit tools for coding quality assessment.
Drive digitization initiatives for real-time quality assurance monitoring.
Leverage advanced analytics and automation to improve audit efficiency.
Error Reduction & Process Improvement
Lead initiatives to reduce coding errors and improve documentation accuracy.
Conduct Root Cause Analysis (RCA) for recurring quality issues.
Develop and implement corrective and preventive action plans (CAPA).
Partner with operations and training teams to resolve discrepancies.
Leadership & Team Development
Lead and mentor QA Managers, Auditors, and Training teams across locations.
Foster a culture of accountability, compliance, and continuous improvement.
Design and deliver training programs to improve coder performance and consistency.
Manage stakeholder relationships across operations, training, and leadership teams.
Strategic Quality Management
Define long-term quality strategy aligned with organizational goals.
Drive cross-functional collaboration for quality enhancement initiatives.
Influence leadership decisions through data-driven insights and recommendations.
Required Qualifications
Experience
Minimum 13 years of experience in Healthcare Revenue Cycle Management (RCM) and Quality Assurance.
At least 5–6 years of multispecialty medical coding experience.
Proven experience in leading large-scale quality or audit teams.
Technical Expertise
Strong knowledge of medical coding standards (ICD-10-CM, CPT, HCPCS).
Expertise in coding audit frameworks and compliance systems.
Experience in AI/automation tools for coding audits and QA processes.
Proficiency in data analytics and dashboard reporting tools.
Certifications
AAPC or AHIMA certification preferred (CPC, CCS, RHIT, RHIA).
Six Sigma Black Belt / Master Black Belt certification (mandatory preferred) from recognized institutions (ASQ, ISI, KPMG, etc.).
Leadership Skills
Strong strategic leadership and stakeholder management capabilities.
Ability to drive organizational change and quality transformation initiatives.
Excellent decision-making, problem-solving, and analytical thinking skills.
Strong communication and executive presentation skills.
Key Skills
Medical Coding Quality Management
Audit Framework Development
Healthcare Compliance (RCM)
AI & Automation in Healthcare Processes
Data Analytics & KPI Management
Root Cause Analysis (RCA)
Lean Six Sigma Methodologies
Team Leadership & Mentoring
Process Improvement & Optimization
Stakeholder Management
Key Contribution
Establish enterprise-level coding quality excellence standards.
Reduce coding errors and improve financial and clinical accuracy.
Drive automation-led transformation in medical coding audits.
Strengthen compliance and governance across global coding operations.
Salary Criteria
Expected Salary: ₹45–75 LPA (Fixed) + Performance Bonus + Long-Term Incentives for candidates with 13–18+ years of Healthcare RCM, medical coding QA leadership, and Six Sigma expertise; professionals leading large multi-site/global QA functions with AI transformation experience may earn ₹75–90+ LPA depending on scope and organizational scale.
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