Quality Analyst
Core
Conduct quality audits on inpatient and observation accounts requiring Notification on Admission (NOA), validate submission accuracy, and perform root cause analysis on defects.
Role type
Quality Analyst (Healthcare Revenue Cycle)
Builds
Quality reports, CAPA plans, and process improvement initiatives for US healthcare clients.
Domain
US Healthcare Revenue Cycle Management (RCM)
Deliverable
dashboards & analysis
Required skills
US Healthcare RCM knowledge, NOA workflow expertise, root cause analysis, CAPA planning, data interpretation, audit documentation review, SLA tracking
Preferred skills
Experience in AR, Denials, Charge Entry, Payment Posting, HIPAA compliance, trend analysis, audit tools (via careerplan.io/jobs/44481-quality-analyst-at-guidehouse)
Technologies
Portals, EDI, fax systems, audit tools, scorecards
Responsibilities
Conduct quality audits on NOA accounts, validate notification submissions, review documentation accuracy, perform root cause analysis, develop CAPA plans, prepare quality reports
Seniority
Mid-level, hands-on IC