Revenue Cycle Quality Assurance Professional

2 days ago


Tirupati, Andhra Pradesh, India beBeeAuditor Full time ₹ 15,00,000 - ₹ 25,00,000
Medical Billing Quality Assurance Specialist

The ideal candidate will play a vital role in ensuring the accuracy, compliance, and efficiency of the revenue cycle process.

Key Responsibilities:
  • Conduct quality assurance and audits of medical billing claims, payment posting, denials management, AR follow-ups, and credentialing tasks.
  • Review claims for accuracy in patient demographics, insurance details, CPT/ICD coding, modifiers, and charge entry.
  • Monitor adherence to HIPAA and U.S. healthcare compliance requirements.
  • Identify trends in errors and provide feedback and detailed audit reports to operations managers and team leads.
  • Suggest corrective measures, retraining needs, or process improvements.
Performance Metrics:
  • Accuracy rate in audited claims (>= 98%).
  • Reduction in denials and rework through early detection.
  • Timely submission of audit reports.



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