Group Leader – Quality (Medical Coding)
Location: Chennai, Tamil Nadu, India
Employment Type: Full-Time
Department: Medical Coding / Quality Assurance / Revenue Cycle Management (RCM)
Job Summary
The Group Leader – Quality (Medical Coding) is responsible for ensuring high-quality coding output, managing end-to-end quality operations, and delivering client SLAs consistently. The role focuses on quality audits (especially E&M coding), KPI monitoring, process optimization, root cause analysis, and team leadership to maintain accuracy, compliance, and operational efficiency.
Key Responsibilities
Quality & SLA Management
Ensure consistent delivery of client Service Level Agreements (SLAs).
Monitor coding quality and ensure adherence to defined accuracy benchmarks.
Conduct quality audits with a focus on Evaluation & Management (E&M) coding.
Identify and resolve quality gaps to improve overall performance.
Process Documentation & Governance
Create, maintain, and update all process documentation regularly.
Ensure standard operating procedures (SOPs) are accurate and up to date.
Support governance of coding workflows and operational processes.
Operations & Performance Management
Manage end-to-end operations through structured planning and execution.
Conduct root cause analysis (RCA) for quality deviations and errors.
Monitor attrition and shrinkage metrics and ensure targets are met.
Review and evaluate staff performance on a continuous basis.
KPI & Reporting
Prepare and maintain dashboards, KPIs, and performance metrics.
Analyze operational data to identify trends and improvement areas.
Provide regular reports to leadership and client stakeholders.
Training & Team Development
Support onboarding and training of new team members.
Assist in upskilling coders and improving coding accuracy.
Work closely with training and operations teams for capability building.
Promote a culture of continuous learning and quality improvement.
Client Communication & Coordination
Handle client calls independently when required.
Maintain professional and effective email communication with stakeholders.
Ensure client expectations are clearly understood and delivered.
Required Qualifications
Experience
Minimum 7 years of experience in medical coding or healthcare RCM operations.
Proven experience in team handling and people management.
Strong exposure to quality auditing in medical coding (especially E&M coding).
Technical Skills
Strong understanding of medical coding concepts and standards.
Expertise in quality audit processes and operational governance.
Proficiency in MS Office tools, especially Excel.
Experience in KPI reporting and dashboard creation.
Key Skills
Strong leadership and team management
Excellent communication and presentation skills
Analytical thinking and problem-solving
Client management and stakeholder handling
Attention to detail and accuracy in audits
Process improvement and operational efficiency
Key Contribution
Ensure high-quality coding output aligned with client SLAs.
Improve accuracy and reduce errors through effective audits and RCA.
Strengthen operational efficiency through KPI-driven management.
Build and lead high-performing coding quality teams.
Salary Criteria
Expected Salary: ₹7–12 LPA for candidates with 7–10 years of medical coding quality and team leadership experience; professionals with strong E&M audit expertise, client management exposure, and KPI/dashboard ownership may earn ₹12–14+ LPA depending on operational scale and leadership responsibilities.
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