Quality Assurance Analyst – RCM & Credentialing Medical Billing USA
Citadel Healthcare Management (PVT) LTD. provides healthcare management services for practices across North America. Our dedicated team supports a wide range of medical administration tasks, working collaboratively across multiple disciplines.
Our mission is to offer employees meaningful opportunities to apply their expertise, grow in their careers, and contribute to the organization’s ongoing success.
We are committed to creating a workplace where employees feel valued, supported, and motivated. By fostering a collaborative and engaging environment, we ensure that every contribution is recognized and appreciated.
At Citadel, diversity and inclusion are at the heart of our culture. We welcome individuals from all backgrounds—regardless of gender, ethnicity, age, religion, lifestyle, or disability—and embrace the unique perspectives and experiences they bring. Through teamwork, innovation, and continuous professional development, we empower our employees to thrive and drive progress within the organization.
As Quality Assurance Analyst – RCM & Credentialing - of CHM you will be liable to perform the following job duties:
Essential Duties and Responsibilities:
Perform daily auditing of RCM accounts worked by staff to ensure accuracy based on QA policies and procedures
Review credentialing files for accuracy, completeness, and compliance with state/federal regulations and internal policies
Enter, update, and maintain or audit provider data within credentialing databases and tracking systems
Gather and document general documentation issues for educational feedback purposes
Maintain QA findings and complete monthly summary reports based on daily audit results, and distribute them to management
Communicate quality deficiencies to staff and provide detailed feedback where necessary
Identify and trend recurring errors and report them to management to support training and process improvement
Work closely with department management to review and improve workflows and ensure account resolution efficiency
Assist in the training of new staff related to QA policies and procedures
Report payor issues, system issues, or staff-related issues to management
Respond to inquiries from other departments as needed
Ensure compliance with information systems security policies, attend required training, and report any security concerns
Adhere to the company code of conduct, ethics policies, and compliance requirements, including reporting any violations appropriately
Complete QA summary files and support overall QA reporting processes
Support company values and perform other duties as assigned
- Benefits
- Provident Fund
- Leave Encashment
- Gratuity
- Health Insurance
- Inflation Bonus
- Housing Allowance
- Patient seen Bonus
- Eid Bonus
60,000PKR - 80,000PKR