QA / Process Specialist – Medical Coding
Job Location: Bangalore, Karnataka, India
Work Type: Full-Time | Onsite
Position Level: Associate
Job Requisition ID: JR-0013318
Posted On: 8 Days Ago
Industry: Healthcare | Medical Coding | Revenue Cycle Management
About Huron
Huron is a global professional services firm that helps healthcare organizations drive sustainable growth, improve performance, and enhance clinical and operational outcomes. By combining deep industry expertise with innovative solutions, Huron empowers health systems, hospitals, and medical clinics to optimize processes, improve patient outcomes, and adapt to an evolving healthcare landscape.
Joining Huron means contributing to impactful healthcare transformation while advancing your professional growth in a dynamic and collaborative environment.
Job Summary
Huron is seeking a QA / Process Specialist – Medical Coding to lead and oversee production and quality assurance activities for medical coding teams. This role focuses on maintaining high coding accuracy, meeting client productivity targets, and ensuring compliance with regulatory and payer guidelines. The ideal candidate will bring strong leadership, analytical, and domain expertise in medical coding quality processes, particularly in HCC risk adjustment coding.
Key Responsibilities
Oversee daily production and quality performance of medical coding teams to consistently achieve 95% or higher coding accuracy.
Monitor key performance indicators including coding volume, turnaround time, project deadlines, and quality metrics.
Review production and quality reports, system dashboards, and audit findings; share actionable feedback with team members and management.
Escalate production or quality issues and operational roadblocks to the Manager in a timely manner.
Collaborate closely with training teams to address skill gaps and improve overall team performance.
Conduct regular coaching, mentoring, and training sessions to enhance coding quality and professional standards.
Lead monthly team meetings and support annual performance evaluations.
Maintain team attendance records, timesheets, and productivity tracking.
Perform special assignments such as full coding audits and client-specific quality reviews.
Ensure adherence to professional, ethical, and compliance standards in coding and documentation practices.
Support continuous improvement initiatives aimed at minimizing revenue leakage while maintaining regulatory compliance.
Stay updated on evolving coding guidelines by participating in internal meetings, training programs, and educational conferences.
Required Skills and Expertise
Strong expertise in medical coding quality assurance and production workflows.
In-depth knowledge of HCC risk adjustment coding, ICD-10-CM guidelines, and medical documentation standards.
Thorough understanding of hospital, technical, and professional services reimbursement systems.
Knowledge of federal, state, and payer-specific regulations related to coding, billing, and compliance.
Excellent analytical, problem-solving, and data interpretation skills.
Proven leadership and people management capabilities.
Strong verbal and written communication skills to work with diverse teams and stakeholders.
Qualifications and Experience
Graduate or Postgraduate degree in Life Sciences, Pharmacy, Physiotherapy, Zoology, or Microbiology.
Minimum 5+ years of relevant industry experience in medical coding, quality assurance, or revenue cycle operations.
Mandatory certification:
CPC (Certified Coding Professional) or
CCS (Certified Coding Specialist)
Location & Employment Details
Country: India
City: Bangalore
Employment Type: Full-Time
Work Mode: Onsite
Keywords for SEO Optimization:
QA Medical Coding Jobs, Medical Coding Quality Specialist, HCC Risk Adjustment Jobs, CPC CCS Coding Jobs India, Healthcare QA Jobs Bangalore, Medical Coding Process Specialist, Revenue Cycle Management Jobs
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