Quality Assurance Leader- HIM IP (DRG)

Job Description:

Strong knowledge of IP DRG coding, DRG validation, Principal Diagnosis selection, Secondary Diagnosis reporting, CC/MCC capture, and ICD-10-PCS coding.

Minimum 5-7 years of experience in Medical Coding and Quality Assurance.

Minimum 6-12 months of experience in leading or managing a team.

Manage, mentor, and support QA team members to achieve quality and operational goals.

Perform second-level QA audits and ensure compliance with coding guidelines, client requirements, and regulatory standards.

Analyze audit findings, identify quality trends, and conduct root cause analysis.

Provide audit feedback, coaching, and education to coders and QA team members.

Conduct quality calibrations and drive quality improvement initiatives.

Prepare and present quality reports, dashboards, and client review summaries.

Collaborate with Operations, Training, and Client stakeholders to improve coding accuracy and DRG integrity.

Strong analytical, leadership, client reporting, and professional communication skills.

Ability to manage team performance, prioritize workload, and drive continuous quality improvement. .