Quality Check Analyst

Job Title :

Quality Check Analyst

Qualification :

Any Graduate

Experience :

3-6 Years

Must Have Skills :

l Experience with risk adjustment coding (HCC),
outpatient or  E&M coding.

l Familiarity with tools like 3M, EPIC, or
 Optum Encoder.

l Certified Professional Medical Auditor
(CPMA) is a strong plus.
  

Good to Have Skills :

l Excellent attention to detail and accuracy
 in code assignment and documentation review.

l Strong analytical, critical thinking, and
 problem-solving abilities.

l Effective written and verbal communication
skills for feedback and education.

l Proficient in Microsoft Office Suite and
 EHR/coding software.

l Ability to manage multiple tasks and meet
 strict deadlines in a fast-paced environment.
 

Roles and Responsibilities :

Ø Perform retrospective and prospective audits
 on E&M coded records to assess coding
accuracy and documentation compliance.

Ø Ensure correct assignment of ICD-10-CM, CPT,
 and HCPCS codes according to official
coding guidelines and facility-specific
protocols.

Ø Identify coding trends, errors, and variances;
 provide feedback to coding staff with
 actionable recommendations.

Ø Collaborate with coders and clinical documentation
 teams to resolve discrepancies and improve
 documentation quality.

Ø Develop and deliver coder education and training
 sessions based on audit findings and
 coding updates.

Ø Maintain up-to-date knowledge of E&M coding
guidelines, CMS changes, and payer
-specific rules.

Ø Participate in internal and external compliance
 audits and respond to audit requests
 as necessary.

Ø Generate audit reports and track coder
performance metrics.

Ø Work closely with compliance, billing, and
HIM teams to ensure revenue integrity
 and regulatory adherence. 

Location :

Chennai

CTC Range :

20-25% hike from Current CTC

Notice period :

Immediate - 15 days

Shift Timings :

Day Shift

Mode of Interview :

Virtual

Mode of Work :

WFO (work from office)

Mode of Hire :

Permanent

Note :

NA