Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to the client and process specific requirements. Ensure that regular feedback and error sharing sessions are conducted to avoid repetition of errors and help improve overall performance. Other activities of the quality analyst include – reporting, calibrations, process analysis and attending client and internal meetings.

Relevant Experience & Educational Requirements:

• Registered nurse with CIC / CCS coding certification
• Must have at least 1 year experience working as a QA
• Must have prior auditing experience; preferably DRG experience
• Possesses knowledge of healthcare claims payment policy and processing
• Must be willing to work onsite

Why ...