Director of Quality - Medical Coding

Designation: Director

Department: Medical Coding

Role : Quality

Job Location : Airoli , Navi Mumbai

Reporting to :Vice President

JOB DESCRIPTION

Director of Quality is required to play a pivotal role in leading the Quality departments of the organization and providing direction to Mid & Junior level management personnel of the department. This role requires the person to play a lead strategic role, overseeing and implementing strategies that will help the Quality teams to deliver as per internal & external stake holder expectations.

The person is required to have a sound and in-depth understanding of the business and should be able to make quick decisions, understands prioritization of work and ensures a high level of coaching is provided to the team.

Goal :

Maintains quality assurance program for coding resources onshore and offshore across multiple specialties to ensure adherence to timelines.

Accountable for developing and maintaining a process to identify risk and partner with training and operations to ensure quality scores exceed the service requirements.

JOB PROFILE

Quality Function

Develop and implement a unified strategy integrating quality with, process migration, develop plans to meetand development needs of the organization through internal and external .

Develop organizational assessment methods and measurement systems to ensure quality benchmarks are met.

Create a structured review mechanism for effective departmental reviews per the audit calendar and report progress.

Establish and implement necessary communication strategy for improvement and awareness of quality issues across all departments.

Provide leadership for the quality department, driving continuous improvement of the overall program resulting in improved funnel, quality and accuracy of customer interactions by identifying trends and trouble spots, capturing the voice of the customer and recommending appropriate actions based on data

Manage the functions and work towards enhancement of the function and team members.

Recruit, mentor and develop team members and nurture an environment where they can excel through encouragement and empowerment.

Understanding process needs and requirements to develop & maintain effective quality control processes

Drive Process improvement projects based on Six Sigma & Lean methodology.

Client Communication:

Assist with the preparation of the client reporting related to quality scores and associated action plans.

Partners with the business unit to create a comprehensive team to support the clients and the coders.

Maintains appropriate files, documents, and reports that are associated with medical billing and quality assurance.

Responsible for development and management of the quality assurance program.

Required Skills:

12+ years Experience in Medical Coding either in Operations or Quality team Managing 80+ FTEs

Should be at Director or Equivalent role

The individual would have a high leadership stint in managing medium to Large sized teams

Strong analytical and problem-solving skills. Must enjoy digging into data and deriving insights

Excellent interpersonal skills and ability to work with and influence different stakeholders across teams.

Excellent written and verbal communication skills with the ability to communicate with multiple levels within the organization.

Should have excellent knowledge of MS-Office, Excel, MIS, Dashboards and Power Point Presentation Skills.

Should have sound knowledge of 7 Quality tool for compiling, interpreting and communicating all quality related statistical

Educational Qualification

Graduate/Post Graduate in any stream

Interested candidate can mail me their profile on [Confidential Information] or call on +919619814875 for further queries .