Job Title: Team Lead - Medical Coding (HCC) Location: Office-Based Experience Required: Minimum 7 Years Employment Type: Full-Time Roles & Responsibilities Oversee and guide a team of medical coders to ensure accurate coding of medical records using ICD-10 and CPT systems. Ensure team compliance with HCC coding guidelines , maintaining a minimum of 96% coding accuracy and adherence to client-specific turnaround time (TAT) requirements. Review, audit, and validate coding work done by team members to ensure compliance with regulatory and client standards. Monitor coder productivity and quality metrics in line with defined inpatient and/or specialty-specific outpatient coding standards . Collaborate with operations and quality teams to resolve escalations and implement preventive measures for recurring errors. Facilitate knowledge sharing and skill development by conducting regular team huddles, feedback sessions, and coding training. Lead continuous improvement initiatives aimed at reducing revenue leakage while maintaining coding compliance and accuracy. Stay updated on the latest coding guidelines and regulatory changes through team meetings, webinars, and coding conferences. Maintain professional and ethical standards, ensuring the team s alignment with organizational and client expectations. Requirements Only those candidates may apply who: Have 7+ years of medical coding experience , including hands-on exposure to HCC coding and multi-specialty coding (e.g., ED, E/M). Are certified in CPC, CRC, COC, or CCS with in-depth knowledge of ICD-10 and CPT code sets. Have prior team handling experience , preferably in a coding or RCM setting. Possess a working knowledge of Microsoft Office tools, especially MS Excel and MS Word. Are committed to upholding a high degree of professionalism, coding accuracy, and ethical conduct . Have strong communication skills and are comfortable coordinating with internal teams and clients. Are interested in mentoring coders and contributing to a quality-driven team culture
Lead end-to-end operations of the medical coding function, ensuring delivery excellence, accuracy, and compliance with HCC and client-specific coding guidelines. Managing a team; oversee day-to-day coding operations, workload distribution, and performance tracking. Implement and monitor coding quality programs, including internal audits, compliance checks, and accuracy improvement plans. Act as the key liaison between cross-functional stakeholders. Drive performance metrics, team KPIs, and ensure SLAs/TATs are consistently met or exceeded across projects. Mentor, coach, and develop leaders within the team to create a strong leadership pipeline and ensure succession readiness. Stay informed about regulatory changes in ICD-10, CPT, CMS-HCC, and payer guidelines; lead knowledge dissemination initiatives. Support client communication on operational updates, quality discussions, and project escalations. Play a key role in hiring, onboarding, and continuous skill development of coding teams in alignment with organizational growth. Requirements Have 10+ years of experience in medical coding, with a minimum of 5 years in a leadership/managerial role. Possess in-depth experience in HCC coding , along with exposure to multi-specialty coding (eg, E/M, ED, IP/OP). Hold a valid certification such as CPC, CRC, COC, or CCS from AAPC/AHIMA or any other equivalent certificate. Demonstrate strong understanding of coding guidelines , CMS risk adjustment models , and payer compliance protocols . Have a proven track record in managing large teams, improving operational efficiency, and delivering high-quality results. Are proficient in MS Excel, Word, PowerPoint , and capable of handling data analysis and reporting independently. Possess excellent communication, leadership, problem-solving, and client-handling skills. Are committed to upholding ethical standards , data confidentiality, and compliance with organizational values.
Job Title: Quality Analyst AR Location: Noida, Sector 136 Experience Required: 4 6 Years Employment Type: Full-Time Department: AR About the Role: We are seeking a detail-oriented and process-driven Quality Analyst (QA) to join our AR team. The QA will be responsible for evaluating the quality of AR follow-up processes, identifying gaps, and supporting continuous improvement efforts. This role ensures accuracy, compliance, and process integrity across the AR operations, contributing directly to the revenue and performance of the organization. Key Responsibilities: Conduct regular audits of AR calling processes, including denial management, follow-ups, and resolution activities. Evaluate team member performance through call audits, documentation review, and system checks. Identify trends in errors and non-compliance, and prepare detailed quality reports with actionable insights. Work closely with AR Team Leads, Managers, and Training teams to implement corrective and preventive measures. Monitor quality metrics such as accuracy rate, call quality score, and adherence to client-specific guidelines. Ensure adherence to HIPAA and other regulatory standards in documentation and communication. Support process improvement initiatives and SOP enhancements based on audit outcomes. Conduct refresher training sessions based on audit findings and process updates. Provide timely feedback to team members on quality performance and coaching needs. Skills & Qualifications: 4 6 years of experience in AR follow up with at least 1 2 years in a QA role within US Healthcare / RCM domain. Strong knowledge of AR workflows, payer-specific guidelines, and denial management processes. Familiarity with denial codes (CO, PR, OA, PI) and follow-up procedures. Proficient in working with AR tools, billing systems, and MS Excel/Word. Strong analytical skills and attention to detail. Hands-on experience with AR/RCM software such as Epic, eClinicalWorks (ECW), and Change Healthcare. Excellent communication skills both written and verbal. Ability to manage multiple audits simultaneously and work under tight deadlines. High level of integrity and a quality-first mindset. Preferred Qualifications: Certified in any RCM/Quality-related program (e.g., Six Sigma Yellow/Green Belt) is a plus. Experience in mentoring or coaching AR callers is an advantage