Healthcare Quality Analyst: Process Improvement, Compliance

Med-Metrix; Pasig; In loco; PHP 320.000 - 520.000; Tempo pieno

Descrizione del lavoro

Med-Metrix in Metro Manila is seeking a Quality Analyst to support quality auditing, analysis, and reporting, developing plans for positive outcomes. You will identify risk, diagnose issues, and implement process improvements in collaboration with Operations and Training teams.

The role requires proficiency in healthcare revenue cycle concepts, familiarity with EOBs and coding, and strong Excel and Office skills.

Competenze

• At least 1 year contract management experience.
• Experience with training new users.
• Knowledge of EOBs, CPT & ICD-9/10 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/referrals.

Mansioni

• Ensure project quality processes are followed and metrics are achieved.
• Prepare detailed audit reports and deliver timely findings.
• Identify methods to achieve quality targets and implement with QCA lead.
• Participate in performance improvement activities and continuing education.
• Share information with the team to ensure project completion.
• Participate in client presentations of findings.
• Adjust workloads to achieve project completion.
• Handle complaints, questions and queries.
• Disseminate guideline changes and monitor HIPAA-related compliance.
• Foster teamwork and service excellence within the department.
• Participate in management calls to address recommendations.
• Assist in new hire training and refresher trainings.
• Maintain knowledge of Med-Metrix policies and procedures.
• Present to educate staff on outcomes and plans of correction.
• Perform other duties as necessary.
• Ensure PHI handling complies with HIPAA and information security policies.

Conoscenze

Contract management experience

Training new users

Healthcare revenue cycle

Ability to multitask

Detail oriented

Integrity and dependability

Deadline oriented

Communication skills

Interpersonal skills

Analytical skills

Problem solving

Decision making

Independence

Objectivity

Team collaboration

Strumenti

EPIC PB

Allscripts

Cerner

Excel

Microsoft Office

Descrizione del lavoro

Med-Metrix in Metro Manila is seeking a Quality Analyst to support quality auditing, analysis, and reporting, developing plans for positive outcomes. You will identify risk, diagnose issues, and implement process improvements in collaboration with Operations and Training teams.

The role requires proficiency in healthcare revenue cycle concepts, familiarity with EOBs and coding, and strong Excel and Office skills.