Quality Assurance Specialist

3 weeks ago


pune, India Artifex HR Private Limited Full time
Quality Assurance Specialist - MCC
Experience - 5 - 7 years
Regular Shift Timings / Full Time Role - Permanent
Location: Mumbai
Roles and Responsibilities:
Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid.
Should be well versed in coding standards and guidelines including ICD - 10 - CM guidelines, AHA coding clinic updates and client specific guideline requirements.
Should be able to perform QA audits for multiple projects.
Derive effective QA sampling and audit methodology for the projects assigned.
Possess analytical skills to monitor and measure the quality trend in the coding projects.
Perform root cause analysis, identify knowledge gaps, and conduct training to project team.
Review scope document and guidelines for new clients before the start of the project and own pilot project delivery to meet client SLA on quality.
Review and customize standard coding guidelines as needed.
Identity error trends on client feedback and improve client experience by continuous improvements.
Conduct training sessions on audit protocols, the comment matrix, and best practices for prospective auditors.
Ability to respond to the internal coding queries with proper rationale.
Follow external and internal compliance standards.
Required Skills:
Medical coding experience minimum of 5 years is mandatory
Worked at least 1 year as an SME/ QA.
Experience in any coding specialty is preferred to handle the pilot projects.
Risk adjustment coding experience is an added advantage.
AAPC/ AHIMA Certification is mandatory
Strong Knowledge in Anatomy and Physiology.

  • Pune, Maharashtra, India METRO Global Solution Center IN Full time

    Metro Global Solution Center (MGSC) is METRO's internal solution partner, a major international wholesaler with presence in 31 countries and 661 stores, supported by a team of 93,000 people. Metro also operates in 10 additional countries through its Food Service Distribution (FSD) business, making it active in a total of 34 countries. MGSC is located in Pune...


  • Pune, Maharashtra, India METRO Global Solution Center IN Full time

    Metro Global Solution Center (MGSC) is internal solution partner for METRO, a €29.8 Billion international wholesaler with operations in 31 countries through 661 stores & a team of 93,000 people globally. Metro operates in a further 10 countries with its Food Service Distribution (FSD) business and it is thus active in a total of 34 countries.MGSC, location...


  • Pune, Maharashtra, India METRO Global Solution Center IN Full time

    Metro Global Solution Center (MGSC) is internal solution partner for METRO, a €29.8 Billion international wholesaler with operations in 31 countries through 661 stores & a team of 93,000 people globally. Metro operates in a further 10 countries with its Food Service Distribution (FSD) business and it is thus active in a total of 34 countries. MGSC,...


  • Pune, Maharashtra, India METRO Global Solution Center IN Full time

    Metro Global Solution Center (MGSC) is the internal solution partner for METRO, an international wholesaler with operations in 31 countries through 661 stores & a team of 93,000 people globally. Metro also operates in 10 countries with its Food Service Distribution (FSD) business, totaling 34 countries.MGSC has locations in Pune (India), Düsseldorf...


  • Pune, India METRO Global Solution Center IN Full time

    Job DescriptionWe’re seeking an experienced Quality Assurance Specialist with an unwavering commitment to meticulous quality standards. The ideal candidate is an exceptionally organized, methodical professional with the experience necessary to take our deliverables to the next level with respect to accuracy and customer centricity. You will be charged with...


  • pune, India METRO Global Solution Center IN Full time

    Job DescriptionWe’re seeking an experienced Quality Assurance Specialist with an unwavering commitment to meticulous quality standards. The ideal candidate is an exceptionally organized, methodical professional with the experience necessary to take our deliverables to the next level with respect to accuracy and customer centricity. You will be charged with...


  • Pune, India Artifex HR Private Limited Full time

    Quality Assurance Specialist - MCC Experience - 5 - 7 years Regular Shift Timings / Full Time Role - Permanent Location: Mumbai Roles and Responsibilities: Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid. Should be well versed in coding standards and guidelines including ICD - 10 - CM guidelines, AHA coding clinic updates...


  • Pune, India Artifex HR Private Limited Full time

    Artifex HR is looking for a quality assurance specialist for one of their healthcare clients based in Pune. Roles and Responsibilities: Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid. Should be well versed in coding standards and guidelines including ICD - 10 - CM guidelines, AHA coding clinic updates and client specific...


  • Pune, Maharashtra, India Artifex HR Private Limited Full time

    Quality Assurance Specialist - MCCExperience yearsRegular Shift Timings / Full Time Role - PermanentLocation: MumbaiRoles and Responsibilities:Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid.Should be well versed in coding standards and guidelines including ICD CM guidelines, AHA coding clinic updates and client specific...


  • Pune, Maharashtra, India Artifex HR Private Limited Full time

    Artifex HR is looking for a quality assurance specialist for one of their healthcare clients based in Pune.Roles and Responsibilities:Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid.Should be well versed in coding standards and guidelines including ICD CM guidelines, AHA coding clinic updates and client specific guideline...


  • Pune, Maharashtra, India Artifex HR Private Limited Full time

    Artifex HR is looking for a quality assurance specialist for one of their healthcare clients based in Pune.Roles and Responsibilities: Possess Knowledge on Risk adjustment models Medicare, Commercial and Medical aid. Should be well versed in coding standards and guidelines including ICD CM guidelines, AHA coding clinic updates and client specific guideline...


  • pune, India METRO Global Solution Center IN Full time

    Job DescriptionWe’re seeking an experienced Quality Assurance Specialist with an unwavering commitment to meticulous quality standards. The ideal candidate is an exceptionally organized, methodical professional with the experience necessary to take our deliverables to the next level with respect to accuracy and customer centricity. You will be charged with...


  • Pune, India METRO Global Solution Center IN Full time

    Job DescriptionWe’re seeking an experienced Quality Assurance Specialist with an unwavering commitment to meticulous quality standards. The ideal candidate is an exceptionally organized, methodical professional with the experience necessary to take our deliverables to the next level with respect to accuracy and customer centricity. You will be charged with...


  • Pune, Maharashtra, India Artifex HR Private Limited Full time

    Quality Assurance Specialist - MCC Experience years Regular Shift Timings / Full Time Role - Permanent Location: Mumbai Roles and Responsibilities: Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid. Should be well versed in coding standards and guidelines including ICD CM guidelines, AHA coding clinic updates and client...


  • Pune, Maharashtra, India Artifex HR Private Limited Full time

    Join Our Team at Artifex HR as a Quality Assurance Specialist for a Healthcare Client in PuneRoles and Responsibilities:Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid.Proficient in coding standards and guidelines including ICD CM guidelines, AHA coding clinic updates and client-specific requirements.Conduct QA audits for multiple...


  • Pune, India Artifex HR Private Limited Full time

    Quality Assurance Specialist - MCCExperience - 5 - 7 yearsRegular Shift Timings / Full Time Role - PermanentLocation: MumbaiRoles and Responsibilities:Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid.Should be well versed in coding standards and guidelines including ICD - 10 - CM guidelines, AHA coding clinic updates and...


  • Pune, India Artifex HR Private Limited Full time

    Quality Assurance Specialist - MCCExperience - 5 - 7 yearsRegular Shift Timings / Full Time Role - PermanentLocation: MumbaiRoles and Responsibilities:Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid.Should be well versed in coding standards and guidelines including ICD - 10 - CM guidelines, AHA coding clinic updates and...


  • Pune, India Artifex HR Private Limited Full time

    Quality Assurance Specialist - MCCExperience - 5 - 7 yearsRegular Shift Timings / Full Time Role - PermanentLocation: MumbaiRoles and Responsibilities:Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid.Should be well versed in coding standards and guidelines including ICD - 10 - CM guidelines, AHA coding clinic updates and...


  • Pune, India Artifex HR Private Limited Full time

    Quality Assurance Specialist - MCCExperience - 5 - 7 yearsRegular Shift Timings / Full Time Role - PermanentLocation: MumbaiRoles and Responsibilities:Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid.Should be well versed in coding standards and guidelines including ICD - 10 - CM guidelines, AHA coding clinic updates and...


  • Pune, India Artifex HR Private Limited Full time

    Quality Assurance Specialist - MCC Experience - 5 - 7 years Regular Shift Timings / Full Time Role - Permanent Location: Mumbai Roles and Responsibilities: Possess Knowledge on Risk adjustment models - Medicare, Commercial and Medical aid. Should be well versed in coding standards and guidelines including ICD - 10 - CM guidelines, AHA coding clinic updates...