ob Title: Quality Analyst
- 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- Robust 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
- Trend Analysis
- Technical Skills- MS Excel (Pivot Tables, VLOOKUP, Reporting)
- QA Audit Tools
- RCM/Medical Billing Applications
- Eligibility Criteria- 4+ years of experience in RCM Billing and Coding
- Minimum 1-2 years of experience in QA/Senior QA role preferred.
- Excellent verbal and written communication skills.
- Strong analytical and problem-solving abilities.
- Experience in handling client escalations and stakeholder communication is an added advantage.
- Preferred Qualifications- Experience in US Healthcare / Medical Billing domain.
- Strong understanding of payer gu

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