ob Title: Quality Analyst

We are looking for an experienced QA / Senior QA qualified with expertise in Revenue Cycle Management (RCM) – Billing and coding Experince. The candidate will be responsible for monitoring and auditing billing activities, ensuring process compliance, identifying quality gaps, performing Root Cause Analysis (RCA), and driving continuous quality improvement initiatives.

The ideal candidate should possess strong knowledge of medical billing, denial management, insurance follow-up, and quality auditing processes along with excellent analytical and communication skills.

Key Responsibilities

Quality Monitoring & Auditing
- - Conduct quality audits for Billing& Coding and documentation.
- Evaluate calls based on process adherence, accuracy, compliance, and communication skills.
- Ensure adherence to HIPAA regulations and client-specific guidelines.
- Monitor agent performance and identify improvement opportunities.

Root Cause Analysis (RCA)
- - Perform RCA for recurring errors, denials, and process deviations.
- Analyze quality trends and identify process gaps.




- Recommend corrective and preventive actions (CAPA).
- Collaborate with operations teams to reduce repeat audit failures.

Coaching & Calibration
- - Conduct calibration sessions with internal teams and clients.
- Support training initiatives and refresher sessions.
- Assist in improving overall team quality scores.

Reporting & Analytics
- - Prepare daily, weekly, and monthly QA reports.
- Track and analyze KPIs such as:
- Quality Scores
- Error Rates
- Denial Trends
- Productivity Metrics
- Compliance Scores
- Share audit insights and improvement plans with management.

Required Skills

Domain Knowledge
- - Strong understanding of Ambulance Coding
- Revenue Cycle Management (RCM)
- Billing and coding (Ambulance coding)
- Medical Billing
- Experienced in Medicare and Medicaid

QA & RCA Skills
- - Quality Analysis
- Calibration Process
- Root Cause Analysis (RCA)
- CAPA Management

📌 Quality Analyst- Billing and Coding (Chennai)
🏢 MedExpert Billing and Consulting
📍 Chennai