Quality Auditing Analyst, Taguig

QUALIFICATIONS:

High school graduate and above; certification in medical billing or healthcare compliance is a plus.

35 years of experience in US medical billing, with at least 12 years in a quality/auditing role.

Strong knowledge of CPT, ICD-10, HCPCS codes, and payer-specific billing rules.

Experience in a call center environment with exposure to call quality metrics (e.g., AHT, FCR, CSAT).

Excellent analytical, documentation, and communication skills.

Proficiency in MS Excel, audit tools, and billing platforms.

JOB DESCRIPTION:

The key roles and responsibilities of a Quality Analyst include monitoring processes, identifying errors, conducting tests, documenting findings, ensuring compliance with standards, providing feedback to teams, improving quality control methods, maintaining reports, and helping deliver high-quality outputs.