Quality Analyst

Quality Analyst

• Review teams’ production for errors and inaccuracies.
• Document and publish quality scores.
• Council and mentor team members to improve their quality scores.
• Create cheat sheets and reference guides to assist teams in improving quality.
• Be able to move seamlessly into the AR Analyst role temporarily if the need arises.
• Identify and report common trends in teams’ production, denials and any global issues.
• Maintain production and quality standards declared by the organization. Requirements:
• 5+ Years of experience in US Healthcare RCM in posting transactions and AR Follow-up.
• Should have a thorough understanding of Provider claim life cycle.
• Must have thorough knowledge of major insurance payers.
• Must have thorough knowledge of common denials.
• Must know standard practices of RCM.
• Must have understanding of common acronyms and nomenclature in US Healthcare.
• Should have excellent written and communication skills in English. Good grammar is a must.
• Must have fair knowledge of common CPT codes, transaction codes and reason codes.

Experience: 5+ Years

Individual Contributor