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Quality Control Analyst - Coding

3-5 years
Not Disclosed
5 May 29, 2025
Job Description
Job Type: Full Time Education: B.Sc./M.Sc/B.Pharm/M.Pharm/Life Science 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 Posting: Quality Control Analyst – Coding


Job Overview

  • Job Code: OMH/QCA-C/1349864

  • Designation: Quality Control Analyst – Coding

  • Company: Omega Healthcare Management Services Private Limited

  • Location: Chennai-I, Tamil Nadu, India

  • Country: India

  • Grade: 1D

  • Openings: 5

  • Posted On: 26 May 2025

  • Closing Date: 09 June 2025

  • Required Experience: 3 – 5 years


Key Skills

  • Quality Control

  • ICD-9

  • HIPAA

  • EMR

  • Healthcare

  • Medical Billing

  • Radiology

  • HCPCS

  • Medicine

  • Revenue Cycle

  • CPT


Education & Certification

  • Education Qualification: Not specified

  • Certifications: Not specified


Job Description

Role Overview:

Responsible for ensuring coding quality and compliance through audits, coaching, and process improvements in accordance with internal and client standards.


Responsibility Areas

  • Participate in client calls to understand and align with quality requirements

  • Implement strategies to meet/exceed quality targets in coordination with Ops/Team Managers

  • Identify high-risk errors with high inspection efficiency

  • Deliver structured, daily feedback (face-to-face and via email) on errors

  • Ensure timely correction of errors by operations team members

  • Provide coaching to employees to reduce repeat errors and enhance performance

  • Share insights with the training team to improve training modules based on recurring issues

  • Test and familiarize with new files/batches for onboarding clients

  • Generate and maintain QA reports daily

  • Achieve and exceed targets on inspection productivity, efficiency, calibration, and skill scores

  • Record all identified errors in organizational systems

  • Ensure complete adherence to company policies and SLA parameters


Job Specification

  • Minimum 1.5 years of relevant and professional experience in healthcare quality control

  • Strong understanding of healthcare and coding processes

  • Proven ability in auditing, coaching, and conducting training refreshers

  • Excellent problem-solving and analytical skills

  • Sound judgment and decision-making ability

  • Strong process knowledge and attention to detail

  • Proficiency in preparing and maintaining quality status reports