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RCM Quality Analyst - AR

3 - 6 years

4 - 6 Lacs

Posted:2 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

RCM QA AR

Key Responsibilities

  • Conduct quality assurance audits for the RCM AR process.
  • Evaluate the accuracy of claims, guideline adherence, and correct use of medical codes (CPT, ICD-10, HCPCS).
  • Identify recurring errors and work with leadership to implement process enhancements or training.
  • Provide detailed and actionable feedback to the AR team.
  • Assist in developing and refining QA policies and procedures.
  • Track quality metrics and perform root cause analysis.
  • Support preparation of reports for internal and external requirements.

Qualifications

  • Graduation in any discipline.
  • 3+ years

    of experience in US Healthcare

    RCM AR Calling (Voice Process)

    .
  • 1+ year

    in a QA – AR role.
  • Strong analytical, communication, and documentation skills.
  • Familiarity with EMR/EHR and billing platforms like Epic, Modmed, ECW, Allscripts (preferred).

Interested? Reach Out to Us!

Rajalakshmi Kannan

Nasiya

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