QA / Process Specialist – Medical Coding
Location: Bengaluru, Karnataka, India
Work Mode: On-site
Employment Type: Full-Time
Position Level: Associate
Job Requisition ID: JR-0013318
About the Company
Huron is a global consulting firm that partners with healthcare organizations to drive sustainable growth, operational excellence, and improved clinical outcomes. By combining deep industry expertise with innovative solutions, Huron helps hospitals, health systems, and medical groups navigate complex regulatory environments, optimize revenue cycles, and deliver patient-centric care.
Joining Huron means working alongside experienced professionals to help healthcare organizations adapt, innovate, and thrive in a rapidly evolving healthcare landscape.
Job Overview
The QA / Process Specialist – Medical Coding will be responsible for overseeing daily production and quality assurance activities for a team of medical coders. This role focuses on maintaining high coding accuracy, meeting client productivity targets, mentoring coding professionals, and supporting continuous process improvement initiatives, particularly in HCC risk adjustment coding environments.
Key Responsibilities
Monitor and manage coding team performance using defined productivity and quality metrics, including daily volume, assignment completion, turnaround times, and accuracy targets
Ensure and maintain a minimum 95% coding quality accuracy across assigned projects
Review production and quality reports, system dashboards, and audit findings; provide actionable feedback to coders and leadership
Escalate production, quality, or operational risks to the Manager and collaborate with Training teams to resolve performance gaps
Lead coaching, mentoring, and skill-development initiatives to improve coding quality, compliance, and professionalism
Conduct regular team meetings and support annual performance evaluations
Track and manage attendance, time sheets, and workload distribution for coding staff
Perform full coding audits and support special quality improvement projects as assigned
Promote high professional, ethical, and compliance standards across all coding activities
Drive continuous improvement initiatives to reduce revenue leakage while ensuring regulatory compliance
Stay current with coding guidelines, regulatory updates, and industry best practices through ongoing education and training
Required Qualifications & Experience
Education: Graduate or Postgraduate degree in Life Sciences, Pharmacy, Physiotherapy, Zoology, Microbiology, or related discipline
Experience Required: Minimum 5+ years of industry experience in medical coding and quality assurance
Certifications (Mandatory):
CPC (Certified Professional Coder) or
CCS (Certified Coding Specialist)
Required Skills & Competencies
Strong domain expertise in medical coding quality processes and production management
In-depth knowledge of HCC risk adjustment coding, ICD coding guidelines, and documentation standards
Extensive understanding of hospital, technical, and professional services reimbursement systems
Thorough knowledge of federal, state, and payer-specific coding, billing, and compliance regulations
Strong analytical and problem-solving skills with the ability to identify trends using performance data
Proven experience in training, coaching, and mentoring coding professionals
Excellent written and verbal communication skills
Strong leadership, organizational, and interpersonal abilities
High attention to detail and commitment to ethical and professional standards
Why Join Huron
Work with a globally recognized healthcare consulting organization
Opportunity to lead quality-driven medical coding initiatives
Exposure to large-scale healthcare transformation and revenue integrity projects
Collaborative and performance-driven work culture
Continuous learning and professional development opportunities
Apply now on thepharmadaily.com to advance your career in Medical Coding Quality & Process Excellence with Huron.
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