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Quality Control Analyst – Coding

3 – 5 years years
Not Disclosed
1 Sept. 1, 2025
Job Description
Job Type: Full Time Education: Life sciences or healthcare-related degrees preferred Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title:

Quality Control Analyst – Coding


Company:

Omega Healthcare Management Services Pvt. Ltd.


Job ID:

OMH/QCA-C/1419135


Location:

Bengaluru-I, Karnataka, India


Position Type:

Full-Time


Grade:

1D


Designation:

Quality Control Analyst – Coding


Number of Openings:

1


Experience Required:

3 – 5 years (Minimum 1.5 years of relevant professional experience)


Posted On:

29 August 2025


Closing Date:

12 September 2025


Job Description:

As a Quality Control Analyst – Coding, you will be responsible for overseeing the day-to-day quality assurance activities within the coding team. You will ensure all quality processes are strictly followed, performance metrics are met, and continual improvements are implemented through coaching and feedback. This role also includes participation in client communications and delivering audit insights that drive coding excellence.


Key Responsibilities:

  • Participate in client meetings to understand quality goals, processes, and expectations

  • Implement methods and practices to meet client and internal quality targets

  • Conduct coding audits with high inspection efficiency

  • Provide real-time and written feedback on identified errors

  • Ensure timely correction of errors by operations staff

  • Coach employees to improve accuracy and performance

  • Provide feedback to training teams to refine curriculum based on frequent errors

  • Perform test file/batch quality checks for new client/process onboarding

  • Generate daily quality reports and maintain audit documentation

  • Monitor and exceed metrics such as inspection efficiency, productivity, calibration score, and error rates

  • Maintain compliance with HIPAA, company policies, and client SLAs

  • Identify patterns and contribute to data-driven process improvements

  • Conduct refresher training and one-on-one coaching sessions for quality improvement


Skills Required:

  • Strong knowledge of medical coding principles and quality control processes

  • Proficient in:

    • ICD-9 / ICD-10

    • CPT / HCPCS coding

    • EMR systems

    • Medical billing and radiology

    • Healthcare revenue cycle management

  • Understanding of HIPAA compliance standards

  • Strong attention to detail and problem-solving skills

  • Ability to analyze trends and generate improvement plans

  • Effective communication, coaching, and training capabilities

  • Strong documentation and report generation skills


Education Qualification:

Not specified (Life sciences or healthcare-related degrees preferred)


Certifications:

Not specified (Certifications such as CPC, CCS, or equivalent are advantageous)


Preferred Candidate Attributes:

  • Extensive experience in audits, coaching, and training

  • Analytical mindset with strong judgment and issue-resolution skills

  • Team-oriented with the ability to coach and drive performance improvements

  • Adaptable to dynamic work environments and quality demands

  • Results-driven with a focus on achieving and exceeding internal and external SLAs