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

Originally posted on Himalayas