QUALITY CONTROL ANALYST - CODING

Omega Healthcare Management Services Pvt. Ltd.; Chennai; On-site; INR 420,000 - 700,000; Full time

Job summary

Omega Healthcare Management Services Pvt. Ltd. in Chennai, Tamil Nadu, India, invites applications for a Quality Control Analyst – Coding with 3–5 years of experience.

The role focuses on managing day-to-day coding quality, coaching staff, and ensuring adherence to client and internal quality metrics. The incumbent will participate in client calls, drive process improvements, and generate QA reports daily while meeting SLA targets.

Qualifications

• Quality control expertise in healthcare processes
• Familiarity with ICD-9, HIPAA, EMR systems
• Knowledge of medical billing and revenue cycle
• Experience with radiology coding and CPT/HCPCS
• Understanding of healthcare terminology and standards
• Ability to ensure accuracy and compliance during coding

Responsibilities

• Participate in client calls to understand quality requirements and targets
• Identify methods to achieve quality targets with ops manager input
• Spot errors and improve inspection efficiency
• Provide daily feedback via emails and personal feedback
• Ensure errors are corrected by operations staff
• Coach employees to reduce errors and improve performance
• Provide inputs to training team to improve curriculum
• Test files/batches for new clients to build familiarity
• Generate QA reports daily and track SLA attainment
• Aim for high inspection and calibration scores and knowledge mastery
• Document errors for organizational records and decision-making
• Adhere to company policies and quality procedures
• Engage in audits, coaching and training per process
• Have at least 1.5 years of relevant experience
• Demonstrate solid healthcare knowledge and problem solving
• Show strong analytical and judgmental skills
• Conduct quality refresher sessions and maintain status reports

Skills

Quality Control

ICD-9

HIPAA

EMR

Healthcare

Medical Billing

Radiology

HCPCS

Medicine

Revenue Cycle

CPT

Job description

• TAMIL NADU

End Date 06 Nov 2026

Required Experience 3 - 5 years

Basic Section

No. Of Openings 5

Grade 1D

Designation Quality Control Analyst - Coding

Organisational

Country IN

State TAMIL NADU

City CHENNAI

Skills

Skill

Quality Control ICD-9 HIPAA EMR Healthcare Medical Billing Radiology HCPCS Medicine Revenue Cycle CPT

Education Qualification

CERTIFICATION

Job Description

Role Description Overview:

The QC is accountable to manage day to day activities of Coding and Ensuring that project related quality processes are followed by associates, client specific metrics and internal metrics are achieved, provide coaching to employees, track and trend data for improvement

Responsibility Areas:

• Participate in client calls and understand the quality requirements both from process perspective and for targets


• Identify a method to achieve the quality targets and implement the same in consultation with operations manager / Team Manager


• Identify errors with high Inspection efficiency


• Provide face to face feedback and also send emails with the type of errors etc. on daily basis as per protocol


• Ensure correction of the error by the respective Operations associate


• Coach employees to minimize errors and improve performance


• Provide inputs to the training team on common mistakes made to enhance training curriculum


• Test files/batches for new clients/processes to be processed as part of familiarization


• Generation of QA reports on a daily basis


• Attainment of Internal & External SLA as per Process Defined.


• Meet and exceed inspection efficiency score, calibration score, knowledge and skills score, inspection productivity rate and any other appropriate metrics


• Record identified errors. This is an organizational record & can be used by the organization as it deems fit


• Strict adherence to the company policies and procedures.


• Extensive Quality experience Audits, Coaching & trainingas per process defined.


• Min of 1.5 Yrs of Professional and Relevant Experience


• Sound knowledge in Healthcare concept.


• Critical problem solving and issue resolution


• Must have Good Product and Process Knowledge


• Must have good analytical and judgmental skills


• Quality Feedback/Refresher sessions


• Prepare and Maintain Quality status reports