Quality Manager Medical Coding

Team Leadership & People Management

• Lead and manage a team of 100+ Quality Analysts across diverse RCM coding projects.
• Foster an inspiring and collaborative team environment with open communication.
• Plan and allocate QA capacity based on workload and project needs.
• Delegate responsibilities, establish clear timelines, and monitor performance.
• Coach, train, mentor, and guide QAs to enhance competency and productivity.
• Address team concerns, resolve conflicts, and ensure a healthy work environment.
• Recognize and reward high-performing team members.

• Ensure high-quality coding delivery aligned with client SLAs and industry guidelines.
• Implement and enhance the Quality Management System (QMS).
• Conduct regular quality reviews, including random audits of auditors.
• Perform root cause analysis (RCA) on audit findings and implement corrective actions.
• Identify knowledge gaps and drive structured action plans with Quality Leads & Operations.
• Monitor and publish performance metrics, KPIs, and quality trends.
  

• Identify opportunities for process improvement and workflow optimization.
• Encourage innovation, automation, and best practices within the QA team.
• Collaborate with cross-functional leaders to strengthen quality delivery and compliance.
  

• Strong expertise in RCM coding for

  Hospital Facility

  and

  Physician (Professional) Coding.

• In-depth knowledge of

  E&M, ED, Surgery, IVR

  , and

  UHDDS

  guidelines.
• Comprehensive understanding of

  Anatomy, Physiology, Pathophysiology, Pharmacology,

  and

  clinical documentation.

• Ability to interpret

  Operative Reports, ED charts, Surgery records,

  and

  complex documentation.

• Strong understanding of compliance risks:

  upcoding, downcoding, fraud/abuse, documentation inflation, HIPAA, CLIA.

• Excellent communication skills, analytical ability, and team-handling skills.
• Proficient in coding guidelines and audit methodologies.
• Preferred:

  Certified Professional Coder (e.g., CPC, CCS, CIC, COC, CCS-P).

Notice Period:

Salary:

Skills:

Our Culture & Values

At Calpion, were not just a company were a dynamic culture fueled by six core values: Agile, Collaborative, Innovative, Fun, Inclusive, and Passionate. These values drive our every move:

• Agile:

  We thrive on change, adapting swiftly to new challenges.

• Collaborative:

  Together, we achieve greatness through teamwork and diverse perspectives.

• Innovative:

  We push boundaries, constantly exploring new ideas and solutions.

• Fun:

  Laughter and camaraderie make our workplace a joyous one.

• Inclusive:

  Diversity is our strength, ensuring every voice is heard and valued.

• Passionate:

  We approach every task with dedication and enthusiasm.

Join us at Calpion and be part of a culture thats not just about work but innovation, growth, and making an impact.