Role & responsibilities
Perform quality audits across RCM functions including AR Follow-up, Denial Management. Optional: Eligibility Verification, Prior Authorization, Charge Entry, Medical Coding and Payment Posting,
Evaluate Calls and transactions to process accuracy, compliance, and adherence to client-specific guidelines.
Provide detailed audit feedback, coaching insights, and corrective action recommendations to operational teams.
Analyze quality trends, identify root causes of errors, and implement preventive measures.
Prepare and present quality reports, scorecards, and performance dashboards.
Conduct calibration sessions with Operations and Training teams to ensure audit consistency.
Ensure compliance with HIPAA, payer regulations, and organizational policies.




Support process improvement initiatives and quality enhancement programs.

Preferred candidate profile
Graduate in any discipline.
2+ years of experience in Quality Audit within US Healthcare RCM.
Robust expertise in AR Follow-up, Denial Management, Medical Billing, Payment Posting, and related RCM processes.
Experience in quality auditing, root cause analysis, and process improvement.
Excellent analytical, reporting, and communication skills.
Advanced proficiency in MS Excel and quality reporting tools.
Thorough understanding of HIPAA, payer guidelines, and healthcare compliance standards.

📌 Walk In Quality Analyst Ar Chennai
🏢 ONCOSPARK
📍 Chennai