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Sr. Quality analyst US Healthcare || Immediate Joiners Provana

2.0 - 7.0 years

4 - 6 Lacs

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Please share your resume @shikha.nillay@provana.com Role & responsibilities : Audit Activities: Conduct daily/weekly audits of charge entries, payment postings, and rejection resolutions. Validate CPT, ICD-10 codes, modifiers, and payer-specific requirements for charge posting. Review payment postings for accuracy, correct application of adjustments, and reconciliation with remittance advice. Verify timely and accurate resolution of claim rejections and front-end denials. Compliance & Accuracy: Ensure adherence to HIPAA, payer guidelines, and internal SOPs. Identify trends in errors and recommend corrective actions. Reporting & Documentation: Maintain audit logs and prepare quality scorecard...

Posted 3 weeks ago

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