quality auditor

BRIDGECORE TECHNOLOGIES

Bridging Technologies is hiring for Quality AuditorExperience: Minimum 2 Years in voice processLocation: MohaliJob Description:We are looking for a candidate who is mature, understands the criticality of the job, and has the ability to speak persuasively. The candidate should have worked with the Quality Analysis of international calls, should have worked with different Quality Tools.Responsibilities and DutiesPerforms call monitoring and provides feedback to the Executives .Uses a quality monitoring data management system to compile and track performance at team and individual level.Coordinates and facilitates call calibration sessions for Executives.Performs &amp; monitors customer care email responses.Provides actionable data to various internal support groups as needed.Coordinates and facilitates call calibration sessions for Executives.Provides feedback to executives, team leaders and managers.Prepares and analyzes internal quality reports for management reviews.Perform other duties as assigned.Evaluate processes for compliance with quality requirements.Assists with feedback and training of individuals who have contact with customers.Requirement:Must have worked in the International process for at least 2 years as a Quality Auditor.Should have given one to one feedback.Should have given feedback to Voice , Email and Chat executives.Knowledge of Quality tools.Must possess Excellent Communication Skills.A Bachelor's Degree.About Company:Headquartered in the state of California in the USA, Bridging Technologies is not only foremost healthcare software &amp;amp; application Product Company but also an &ldquo;idea generation&rdquo; company that believes in bringing new healthcare concepts to reality. We specialize in end-to-end software product development and bring a wealth of experience creating out-of-the-box software for healthcare organizations.Our cultureSincere at work, crazy at workplace - we are a bunch of creative, tech-savvy people, passionate about technology and curious about what we can do with it. Our passion to build solutions that make a difference in people&rsquo;s lives has brought us together and a long professional journey has taught us how to do it.&lsquo;What&rsquo;s next?&rsquo; The notion constantly nags us to come up with new ideas, build new things &amp; make the world a better place to live in.Quality WorkWe don't just work but strive to accomplish more than what is expected from us. It's truly worth it when all our hard work and toil is rewarded with some back-patting, and snacks on the house!Job Type: Full-timePay: ₹30,000.00 - ₹55,000.00 per monthBenefits:<ul><li>Food provided</li><li>Health insurance</li></ul>Application Question(s):<ul><li>Are you comfortable to work in night shifts</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>QA International voice process: 2 years (Preferred)</li></ul>Work Location: In person

Quality Auditor

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary 
Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
Additional responsibilities to include but not limited to the following:<ul><li>
Proven ability to support coding judgment and decisions using industry standard evidence and tools.</li><li>
Ability to confidently speak to such evidence across stakeholders with varying knowledge and clinical expertise in either written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding resources.</li><li>
Conducts process audits to ensure compliance with internal policies and procedures and existing CMS regulations.</li><li>
Ability to work independently as well as in a cross functional role within other teams for collaboration on best practices.</li><li>
Possesses a genuine interest in improving and promoting quality; demonstrates accuracy and thoroughness and assists others to achieve the same through mentoring and instruction.</li><li>
Conducts process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body.</li><li>
Expertise in assigning accurate medical codes for diagnoses as documented for physicians and other qualified healthcare providers in the office and/or facility setting.</li><li>
Thorough knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity.</li><li>
Expertise in medical documentation, fraud, abuse and penalties for documentation and coding violations based on governmental guidelines.</li><li>
Performs other related duties as required.</li></ul> 
Required Qualifications<ul><li>
Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications).</li><li>
Experience with International Classification of Disease (ICD) codes required.</li><li>
5 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.</li><li>
Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required.</li><li>
CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required</li></ul> 
Preferred Qualifications<ul><li>
CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.</li><li>
Excellent analytical and problem-solving skills.</li><li>
Superior communication, organizational, and interpersonal skills</li></ul> 
Education<ul><li>
Bachelor of Arts/ Bachelor of Science Degree or equivalent experience.</li><li>
Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 3 years for CPC.</li><li>
5-8 years encompassing additional credentials and/or application of credentials.</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$21.10 - $44.99
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/13/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Analyst, Coding Data Quality Auditor

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Quality Auditor

Analyst, Coding Data Quality Auditor

Analyst, Coding Data Quality Auditor

Analyst, Coding Data Quality Auditor

Analyst, Coding Data Quality Auditor

Analyst, Coding Data Quality Auditor

Analyst, Coding Data Quality Auditor