Quality Analyst - Charge Posting

Job Description

Job Summary: The Quality Analyst for Charge Posting in the US healthcare sector is responsible for ensuring the accuracy and efficiency of charge posting processes. This role involves auditing charge entries, identifying discrepancies, and implementing corrective actions to maintain compliance with billing regulations and maximize revenue integrity. Key Responsibilities: 1. Charge Posting Audit and Review: Conduct regular audits of charge entries to ensure accuracy and completeness. Verify that all charges are posted in accordance with healthcare billing guidelines and organizational policies. Identify and correct discrepancies or errors in charge entries. 2. Process Improvement: Analyze charge posting processes and recommend improvements to enhance accuracy and efficiency. Develop and update charge posting procedures and guidelines. Work with the billing team to implement best practices and process enhancements. 3. Compliance and Quality Assurance: Ensure compliance with federal, state, and local healthcare billing regulations. Stay updated with changes in billing codes, payer requirements, and industry standards. Conduct quality assurance checks to maintain high standards of charge posting accuracy. 4. Training and Support: Provide training and support to charge entry staff on correct posting procedures and compliance requirements. Develop training materials and conduct sessions to improve team knowledge and performance. Serve as a resource for charge posting related questions and issues. 5. Reporting and Analysis: Prepare regular reports on charge posting accuracy, trends, and areas for improvement. Utilize data analytics to identify patterns and root causes of posting errors. Present findings and recommendations to management for process enhancements. 6. Collaboration: Work closely with billing, coding, and compliance teams to ensure seamless revenue cycle operations. Collaborate with IT to optimize charge posting systems and software. Coordinate with healthcare providers to resolve charge posting issues and discrepancies. Qualifications: Experience: Minimum of 3 years of experience in charge posting, billing, or revenue cycle management in the US healthcare sector. Skills: Strong knowledge of healthcare billing codes (CPT, ICD10, HCPCS) and regulations. Proficiency in charge posting software and electronic health record (EHR) systems. Excellent analytical, problem-solving, and attention to detail skills. Strong communication and interpersonal skills. Ability to work independently and as part of a team in a fast paced environment. Share your resume at Manish.singh2@pacificbpo.com or Call us at 9311316017(Manish Singh HR)