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 needarises.- Identify and report common trends in teams’ production, denials and any globalissues.- Maintain production and quality standards declared by the organization.Requirements:- 5+ Years of experience in US Healthcare RCM in posting transactions and ARFollow-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 USHealthcare.- Should have excellent written and communication skills in English. Goodgrammar is a must.- Must have fair knowledge of common CPT codes, transaction codes and reasoncodes.

Experience: 5+ Years

Individual Contributor