Quality Analyst

Job description

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