Manager, Quality Coding

Description

Job Description 

This role provides leadership and oversight to the offshore quality assurance team, ensuring workflows align with established standard operating procedures and evolving business needs. The position is responsible for monitoring performance outcomes to ensure both quality and productivity standards are consistently achieved. The role also maintains and strengthens the quality assurance program across multiple specialties, ensuring deliverables are accurate, timely, and compliant. In addition, this position is accountable for developing and sustaining processes to identify potential risks, while partnering closely with operations and leadership to drive continuous improvement and ensure quality results exceed service expectations.

Responsibilities:

• Manage all aspects of the coding quality program, including development and oversight of standard operating procedures, sampling methodology, scoring, and performance management processes
• Monitor QA scores for offshore coding resources by specialty and client, ensuring accuracy and compliance
• Provide feedback to operations teams and support the development of corrective action plans based on quality review outcomes
• Analyze trends from prospective and retrospective reviews to identify educational needs and guide training initiatives for offshore coding staff
• Develop and implement client-specific QA plans, including ongoing monitoring, remediation, and follow-up
• Prepare client-facing reports that summarize quality scores, trends, and related action plans
• Collaborate with business units to build an integrated team approach that supports both client requirements and coder performance
• Serve as subject matter expert for coding inquiries, with expertise in Ambulatory Surgery Centers as well as Professional Fee Services 

Requirements

Qualifications:

• Education and Experience:
• 10 years coding experience
• 5+ years of leadership experience
• 5 years of quality assurance auditing experience

Skills and Competencies:

• Excellent communication and interpersonal skills required
• Highly organized and task-oriented, with proven ability to manage multiple projects and competing priorities
• Strong analytical skills with expertise in documentation review and data analysis
• Demonstrated ability to work independently in a fast-paced, dynamic environment
• Solution-oriented mindset with the ability to manage workflow challenges and resolve client or internal obstacles
• Strong decision-making, critical thinking, and problem-solving abilities
• Ability to direct and collaborate with internal and external stakeholders
• Skilled in influencing and building trust with internal customers and key stakeholders
• Effectively establish and build partnerships with external customers
• Effective leadership capabilities with experience in developing and guiding high-performing teams

Key Competencies:

• Drives Results: Consistently delivers outcomes in challenging circumstances, fosters a sense of urgency, and motivates others to persist despite obstacles.

• Communicates Effectively: Adapts communication style to diverse audiences, ensuring clarity, understanding, and alignment across all stakeholders.

• Quality Decision-making: Demonstrates sound judgement, weighing incomplete or complex information, considering all relevant factors, and making courageous, timely decisions.

• Technical Proficiency: Identifies and implements appropriate technical tools and solutions to meet evolving business needs.