Professional, Quality Analysis

Medical Coding Professional with 6+ years of overall experience , including 2-3 years of Quality Analysis (QA) experience in physician and outpatient coding. Expertise in Professional Fee (ProFee) Evaluation & Management (E/M) coding with thorough knowledge of CMS, CPT,…

Minimum of 2.5–5 years of experience in the healthcare industry, specifically in Prior Authorization . Proficient in CPT codes , diagnostic codes , and procedure or medication authorization across specialties such as Gastroenterology , Urology , Infusions , DME , and others.…

Job Summary The Provider Enrollment Services (PES) Quality Analyst is responsible for monitoring, auditing, and improving the quality and accuracy of provider enrollment processes across multiple payors and clients. The role focuses on ensuring compliance with client guidelines,…

Position Summary The Coding Quality Analyst is responsible for assessing the accuracy, completeness, and compliance of medical coding practices across the organization. This role focuses on ensuring alignment between clinical documentation and coded data, supporting regulatory…

Role Overview We are looking for an experienced QA Analyst / Test Analyst with hands-on SOFICO Miles experience to support quality assurance and testing activities for a client in the automotive leasing industry. The ideal candidate will have a strong background in software…

Job Title: Program Manager – Certification Development EC-Council is the world’s largest cyber security technical certification body. We operate in 170 countries globally and we are the owner and developer of various world-famous cyber security programs. We are proud to have…