Skills:
audits of medical billing data, billing accuracy, billing software, Auditing and reporting, revenue cycle management., DME,
Company Overview
Welcome to Confair, a company specializing in Revenue Cycle Management and e-publication. With expertise in US healthcare and e-publication services, we have over 25 years of experience in various medical specialties and cutting-edge solutions for high-quality products.
Job Overview
Position: Quality Analyst (Junior Level)
Job Type: Full-Time
Location: Coimbatore
Overview: We are seeking a detail-oriented and experienced Quality Analyst to join our medical billing team. The Quality Analyst plays a crucial role in ensuring accuracy, compliance, and efficiency in all aspects of medical billing processes. This position involves monitoring, evaluating, and auditing billing activities to maintain high standards of quality and adherence to regulatory requirements.
Key Responsibilities
- Conduct regular audits of medical billing data, coding, and documentation to ensure accuracy and compliance with industry standards, regulations, and company policies.
- Analyze audit findings and provide detailed reports with recommendations for improvement to management and billing teams.
- Collaborate with billing specialists and coding professionals to address discrepancies and implement corrective actions.
- Develop and maintain quality assurance standards and procedures for medical billing operations.
- Monitor key performance indicators (KPIs) related to billing accuracy, productivity, and compliance, and identify areas for improvement.
- Participate in training programs for billing staff to enhance understanding of billing guidelines, coding updates, and compliance requirements.
- Stay updated on changes in healthcare regulations, billing guidelines, and coding practices to ensure continuous compliance and quality improvement.
- Investigate and resolve billing-related issues and inquiries from internal stakeholders, clients, and third-party payers.
Qualifications
- Bachelors degree in Healthcare Administration, Business Administration, or a related field preferred.
- Proven experience in medical billing, coding, or healthcare revenue cycle management.
- Strong knowledge of medical billing practices, procedures, and regulations (e.g., HIPAA, CPT, ICD-10).
- Previous experience in quality assurance, audit, or compliance within the healthcare industry preferred.
- Excellent analytical skills with the ability to interpret data, identify trends, and make recommendations for process improvements.
- Detail-oriented with a focus on accuracy and thoroughness in auditing and reporting.
- Effective communication skills to collaborate with multidisciplinary teams and present audit findings and recommendations clearly.
- Proficiency in using billing software and electronic health records (EHR) systems.
- Certification in medical coding (e.g., CPC, CCS) is a plus.
