Charge Entry -QA (5-Jan -26)

ECLAT Health Solutions; Hyderabad; On-site; INR 300,000 - 500,000; Full time

Job summary

Eclat-Health-Solutions-4 in Hyderabad is seeking a Charge Entry QA to audit and ensure the accuracy of medical billing data. The role focuses on identifying errors, implementing quality controls, and training staff to improve the revenue cycle.

Key responsibilities include conducting regular audits, analyzing performance metrics, and staying updated on billing regulations. Previous experience in medical billing and strong analytical skills are essential.

Qualifications

• Previous experience in medical billing, revenue cycle management, and charge entry.
• Meticulous focus on accuracy in data entry and auditing.
• Ability to analyze data and identify root causes of errors.

Responsibilities

• Perform audits on charge entry processes, ensuring compliance with payer rules.
• Identify discrepancies and missed charges in patient records.
• Train charge entry specialists on procedures and provide support.
• Analyze data and generate reports on quality trends.

Skills

Medical billing experience

Attention to Detail

Analytical Skills

Communication

Technical Skills

Healthcare Knowledge

Job description

A Charge Entry QA job involves auditing medical billing data for accuracy, ensuring compliance, identifying errors in patient charges, implementing quality controls, and training staff to improve efficiency in the revenue cycle, focusing on preventing claim denials by guaranteeing correct procedure codes and patient details are entered into billing systems. Key duties include conducting regular audits, analyzing performance metrics, providing feedback, and staying updated on billing regulations for a healthcare facility.

Key Responsibilities

• Auditing & Compliance: Perform audits on charge entry processes, ensuring accuracy, completeness, and adherence to payer rules and industry standards (e.g., HIPAA).
• Error Identification: Find discrepancies, missed charges, or incorrect data (like procedure codes, demographics) in patient records.
• Process Improvement: Develop and implement quality control measures and workflows to enhance efficiency and reduce errors.
• Training & Support: Train charge entry specialists on proper procedures, provide feedback, and help resolve complex issues.
• Reporting: Analyze data, track key performance indicators (KPIs), and generate reports for management on quality trends.
• Data Management: Ensure accurate input of patient demographics, service details, and provider information into billing software.

Essential Skills & Qualifications

• Experience: Previous experience in medical billing, revenue cycle management (RCM), and specifically in charge entry.
• Attention to Detail: Meticulous focus on accuracy in data entry and auditing.
• Analytical Skills: Ability to analyze data and identify root causes of errors.
• Communication: Strong verbal and written skills for training and reporting.
• Technical Skills: Proficiency with charge entry software and billing systems.
• Healthcare Knowledge: Understanding of healthcare reimbursement, medical coding (like CPT/ICD), and billing procedures.