QA / Process Specialist – Medical Coding
Company: Huron Consulting Group
Location: Bangalore, India
Job Type: Full-Time
Experience: 5+ Years
Qualification: Life Science / Pharmacy / Physiotherapy / Microbiology + CPC or CCS Certification
Salary Range: Not Specified
Job Overview
Huron Consulting Group is hiring a QA / Process Specialist – Medical Coding to manage production and quality performance of coding teams. The role focuses on ensuring coding accuracy, meeting client targets, mentoring coders, and driving continuous process improvement in healthcare revenue cycle operations.
Key Responsibilities
Team Performance & Quality Management
Monitor coding team performance using productivity and accuracy metrics.
Ensure achievement of ~95% coding quality accuracy standards.
Track daily coding volume, assignments, and deadlines.
Quality Assurance & Audits
Review coding quality reports and identify improvement areas.
Conduct coding audits and special QA projects.
Ensure compliance with coding standards and guidelines.
Team Leadership & Mentoring
Train, coach, and mentor coders to improve performance.
Conduct team meetings and performance evaluations.
Support employee engagement, morale, and satisfaction.
Reporting & Operations
Prepare daily operational and performance reports.
Maintain attendance records and timesheets.
Collaborate with managers and training teams.
Client & Stakeholder Interaction
Participate in client discussions and internal meetings.
Escalate risks, blockers, and QA concerns to management.
Process Improvement
Identify trends using data analysis.
Drive initiatives to reduce revenue leakage and improve efficiency.
Continuously upgrade coding knowledge and skills.
Required Skills
Medical Coding Expertise
Strong knowledge of ICD, CPT, and HCC risk adjustment coding.
Understanding of coding guidelines and reimbursement systems.
Knowledge of federal, state, and payer-specific regulations.
Leadership & Management
Strong team handling and mentoring skills.
Ability to manage performance and drive results.
Analytical Skills
Strong problem-solving and data analysis abilities.
Ability to identify trends and improve processes.
Communication
Excellent verbal and written communication skills.
Ability to work with cross-functional teams.
Preferred Qualifications
5+ years of medical coding experience.
CPC (Certified Professional Coder) or CCS (Certified Coding Specialist).
Experience in QA, audits, and team management.
Key Competencies
Quality assurance and audit expertise
Team leadership and coaching
Process improvement and analytics
Healthcare compliance knowledge
Operational reporting and coordination
About the Company
Huron Consulting Group is a global consulting firm that partners with healthcare organizations to improve operational performance, enhance clinical outcomes, and drive innovation. The company specializes in helping hospitals and health systems optimize revenue cycle management and adapt to the evolving healthcare landscape.
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