Quality Auditor

Quality Auditor

Ensemble Health Partners

Location: Hyderabad

About Company

Ensemble Health Partners is a leading healthcare revenue cycle management (RCM) organization supporting hospitals and health systems across the United States. Its Hyderabad Global Capability Center delivers specialized services across medical coding, billing, accounts receivable, denials management, quality assurance, and healthcare operations while maintaining the highest standards of compliance, accuracy, and client service.

Job Roles & Responsibilities

• Conduct quality audits across medical billing, coding, accounts receivable, denial management, and other revenue cycle processes to ensure compliance with client and regulatory standards.
• Identify documentation, process, compliance, and accuracy gaps, and provide detailed feedback to improve operational quality and performance.
• Partner with Quality Managers, Operations Leaders, and Training teams to develop corrective action plans, conduct coaching sessions, and drive continuous quality improvement initiatives.
• Review healthcare documentation, medical necessity, payer guidelines, compliance requirements, and business processes to ensure audit readiness and operational excellence.
• Prepare audit reports, analyze quality trends, maintain documentation, and support teams in consistently meeting productivity, quality, and compliance targets.

Ideal Candidate Profile

• Bachelor's degree in any discipline; Life Sciences, Nursing, Pharmacy, or allied healthcare education is preferred.
• 3+ years of overall healthcare revenue cycle experience, including at least 2 years in Quality Assurance or Quality Auditing within U.S. Healthcare RCM.
• Strong understanding of medical billing, coding, accounts receivable, payment posting, denial management, healthcare compliance, and quality methodologies.
• Experience working with healthcare platforms such as Epic, Athena, Kareo, or similar billing systems; CPC, CCS, CRCR, or equivalent certification is preferred.
• Excellent analytical, communication, documentation, and stakeholder management skills with a strong focus on quality improvement and process excellence.

What We Offer

• Opportunity to join one of the leading healthcare revenue cycle organizations supporting major U.S. healthcare providers.
• Exposure to quality assurance, audit, compliance, process improvement, training, and cross-functional healthcare operations.
• Collaborative work environment with strong career growth opportunities across quality leadership, healthcare operations, compliance, and revenue cycle management.

Hiring Process

Flexiple Interview → Profile Review → Client Interview 1 → Client Final Interview

Applications are being reviewed this week. Apply today to be included in the first round of interviews.

We are shortlisting candidates within 24–48 hours — apply now to be considered.

Not the right fit? Tag someone in your network who might be.