Professional, Quality Analysis
advantum
Professional, Quality Analysis
advantum· CODINGOP
About this role
Position Summary
The Quality Analyst – Surgery is responsible for performing detailed coding quality reviews, audits, and education related to surgical services. This role ensures accurate code assignment, documentation integrity, and compliance with federal regulations, payer policies, and organizational standards. The analyst partners closely with coding staff, providers, and leadership to drive continuous improvement in coding accuracy, reduce compliance risk, and support optimal reimbursement.
Key Responsibilities
- Perform retrospective and prospective coding audits for surgical specialties (e.g., general surgery, cardiovascular, orthopedic, etc.)
- Evaluate coding accuracy for CPT, ICD-10-CM/PCS, and modifiers, ensuring compliance with:
- Official Coding Guidelines
- NCCI edits
- CMS and payer-specific policies
- Identify trends, root causes, and opportunities for improvement in coding quality and documentation
- Develop and deliver targeted education and feedback to coders and providers
- Collaborate with leadership to implement coding quality initiatives and process improvements
- Monitor and report key quality metrics (accuracy rates, audit scores, denial trends)
- Support internal and external audits, including RAC, payer, and regulatory reviews
- Assist with development of policies, procedures, and training tools
- Provide guidance on complex surgical coding scenarios
- Participate in denial management and appeal support related to coding issues
Qualifications
Required
- One of the following certifications:
- CPC, CPMA, CCS
- Minimum 5+ years of surgical coding experience, with strong focus on complex procedural coding
- Minimum 2+ years of auditing or quality review experience
- Advanced knowledge of:
- Surgical coding across multiple specialties
- CPT/HCPCS coding and modifier usage
- ICD-10-CM/PCS
- NCCI edits and bundling rules
- Strong understanding of documentation requirements for surgical procedures
Preferred
- Prior experience developing education/training programs
- Familiarity with encoder tools, EHRs and audit software
- Experience with denial analysis and revenue cycle impact
Skills & Competencies
- Strong analytical and critical thinking skills
- High level of attention to detail and accuracy
- Ability to interpret complex operative reports
- Confident communicator with ability to provide constructive feedback
- Ability to identify trends and implement process improvements
- Organizational and time management skills in a high-volume environment
Why Join Us
- Opportunity to lead quality improvements in surgical coding
- Collaborative, forward-thinking leadership environment
- Impactful role supporting compliance, accuracy, and financial performance
Frequently Asked Questions
Is the salary disclosed for the Professional, Quality Analysis position at advantum?
The salary for this Professional, Quality Analysis role at advantum is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Professional, Quality Analysis position at advantum located?
This Professional, Quality Analysis role at advantum is based in Hyderabad, TG, India. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Professional, Quality Analysis role at advantum full-time or part-time?
This is listed as a FULL TIME position. It is posted as a Professional, Quality Analysis role in the CODINGOP department at advantum.
Which team or department does the Professional, Quality Analysis at advantum belong to?
This Professional, Quality Analysis position is part of the CODINGOP department at advantum. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Professional, Quality Analysis position at advantum?
Click the "Apply Now" button on this page. You will be redirected to advantum's official application portal hosted on keka where you can submit your application directly.
When was the Professional, Quality Analysis job at advantum posted?
This Professional, Quality Analysis position at advantum was posted on Jul 2, 2026. Apply as soon as possible — early applications are often reviewed first.
Professional, Quality Analysis
advantum
You'll be redirected to advantum's official application page on keka.