Quality Analyst (RCM - Healthcare Account)

Synlink Recruitment Outsourcing Co. Inc.; Pasig; On-site; PHP 334,800 - 558,000; Full time

Job summary

A recruitment outsourcing company in the Philippines is seeking a Quality Analyst for US medical billing. This role involves conducting audits, reviewing coding practices (CPT, ICD-10, HCPCS), and providing training based on audit findings. The ideal candidate has a diploma in healthcare, 1-3 years of relevant experience, and strong analytical skills. Competitive compensation offered.

Qualifications

• 1-3 years of experience in quality analysis or US medical billing.
• Strong ability to conduct audits and provide actionable insights.
• Attention to detail, analytical mindset, and excellent communication skills.

Responsibilities

• Conduct quality audits of US medical billing processes.
• Review and analyze coding practices including CPT, ICD-10, and HCPCS codes.
• Provide feedback and training to staff based on quality audit findings.
• Maintain accurate documentation of audit results.

Skills

US Medical Billing

CPT coding

ICD-10 coding

HCPCS coding

MS Excel

Education

Diploma in healthcare or a related field

Job description

• Conduct quality audits of US medical billing processes to ensure compliance with healthcare regulations.
• Review and analyze coding practices including CPT, ICD-10, and HCPCS codes.
• Provide feedback and training to staff based on quality audit findings.
• Maintain accurate documentation of audit results and create quality reports.
• Collaborate with the billing team to implement process improvements to enhance efficiency.

Requirements

• Educational Qualifications: Diploma in healthcare or a related field.
• Experience Level: 1-3 years of experience in quality analysis or US medical billing.
• Skills and Competencies: Proficient in US Medical Billing, CPT, ICD-10, HCPCS codes, and MS Excel.
• Responsibilities and Duties: Strong ability to conduct audits and provide actionable insights.
• Qualities and Traits: Attention to detail, analytical mindset, and excellent communication skills.