Associate Director - Coding Quality

Job Description

Greetings from myAvtar!!! Congratulations! Your Resume has been short listed for position of Associate Director - Coding Quality with one of our Reputed Medical coding clients for Chennai Location. Job Description: • Lead a team of quality senior managers/managers for multiple business units/customers and across locations. • Lead closer calibrated quality outcomes for end customers. • Drive customer satisfaction for quality of coding output including corrective and preventive actions for customer quality concerns. • Build and operate a predictable quality model and well aligned outcome-based quality assurance unit for coding. • Actively collaborate new customer engagements for better quality outcomes including calibration, SOP inputs • Drive the structure and governance for ongoing customer calibrations. • Collaborate and drive coding compliance reviews, alignment, and actions. • Lead quality representation in business reviews weekly, monthly, and quarterly as well customer and internal stakeholders/leadership visits. • Drive high level of visibility on business performance and measures to relevant internal stakeholders. • Actively lead collaborative efforts and cohesive outcomes between US and Global QA teams • Drive and guide analytics for comprehensive quality dashboards along with business insights and publish for internal stakeholders and leaders. • Drive quality transformation initiatives and continual process improvement. • Create effective quality sampling process and governance. • Drive QA effectiveness and alignment with customer perceived quality. • Collaborate with product team to build and manage comprehensive QA workflow tool along with reporting and insights capabilities. • Drive process improvement initiatives including process reengineering, lean and automation initiatives to drive efficiency. • Drive value-based initiatives including upstream opportunities from AR to coding, coding denials to abstract coding as well coding optimization, benchmarking, and CDI/provider education initiatives as well technology initiatives such as autonomous coding, coding edits/scrubbers and auto fixes. • Collaborate with training team to drive effective feedback loop to address quality gaps through onboarding training. • Drive high performing quality operations with closer governance on KPIs such as productivity, absenteeism, shift adherence, utilization, productive time etc • Drive high people engagement including framework for periodical connects including 1 to 1, skips, FGDs as well use the people survey tool to drive meaningful actions, EWS and employee retention and govern attrition. • Manage all exceptions and escalations for quality team. • Drive people development efforts and framework around IDP and R&R initiatives and be an inspiring people leader. • Closely work with operations to meet dynamic business needs on quality support. • Review and govern external audits rebuttals and final outcomes. • Govern transactional quality operations as well drive strategic initiatives and implement best QA practices. • Identify process improvement/business excellence/process reengineering opportunities and drive further. • Drive automation and transformation initiatives. • Exposure to digital solutions, automation, AI and analytics and ability to implement digital solutions. • Analytical and structured approach with extensive experience in implementing high impact projects and delivering transformation projects in scale. No of years of Experience: Minimum 18 Years of Experience in managing Multispecialty Coding in RCM/US healthcare is preferred along with understanding on Quality Concepts.