Medical Coder Lead

Job Description IPDRG QA

Position: IPDRG – QA
Experience: 10+ Years
Notice Period: Immediate Joiners / Maximum 15 Days
Location: Only Chennai
Employment Type: Full-Time

Job Summary

We are looking for an experienced IPDRG QA professional with a minimum of 10+ years of overall experience and at least 3 years of dedicated Quality Assurance (QA) experience within the healthcare revenue cycle management domain. The ideal candidate should possess strong knowledge of IPDRG coding validation, auditing, quality processes, compliance standards, and healthcare documentation review.

Key Responsibilities

• Perform quality audits and validation of IPDRG coding and related healthcare processes.
• Review medical records, clinical documentation, and coding accuracy as per industry guidelines.
• Ensure compliance with client quality standards, regulatory requirements, and coding guidelines.
• Identify coding discrepancies, documentation gaps, and process improvement opportunities.
• Provide feedback and coaching to coding teams to improve quality scores.
• Prepare audit reports, quality metrics, and performance dashboards.
• Participate in internal and external quality assessments.
• Support process improvement initiatives and quality governance activities.
• Collaborate with operations, coding, and client management teams to achieve quality targets.

Required Skills

• 10+ years of overall experience in Healthcare RCM/Coding domain.
• Minimum 3+ years of Quality Assurance (QA) experience.
• Strong knowledge of IPDRG coding methodologies and quality standards.
• Experience in medical record auditing and documentation review.
• Excellent analytical and problem-solving skills.
• Strong communication and stakeholder management abilities.
• Proficiency in MS Excel and reporting tools.
• Understanding of healthcare compliance and regulatory requirements.

Preferred Qualifications

• Certification in Medical Coding (CPC, CCS, CIC, or equivalent) preferred.
• Experience in handling quality audits and client-facing quality reviews.
• Exposure to healthcare process improvement and quality management frameworks