Lydia Lincy
Senior Quantity Specialist
Bengaluru
6+ years of work experience
Oct 20196 y 10 moAug 2026
Bengaluru, Karnataka, India
Main Roles and Responsibilities
Healthcare Quality Analyst | 6 Years of Experience
- Performed quality audits of inpatient and outpatient healthcare claims to ensure accuracy and compliance with process guidelines.
- Reviewed medical coding concepts, including ICD-10-CM, CPT, HCPCS codes, and modifiers, as applicable to the assigned process.
- Identified claim processing errors, coding discrepancies, and documentation issues; supported error correction and rework.
- Validated claims against medical records, client requirements, and established guidelines.
- Reviewed DRG and APC pricing concepts related to inpatient and outpatient reimbursement, where applicable.
- Conducted root cause analysis (RCA) to identify recurring errors and recommend corrective actions.
- Trained new team members on process guidelines, quality standards, and error identification.
- Monitored quality performance, provided feedback, and supported continuous process improvement.
- Prepared quality reports and communicated audit findings to managers and client-side contacts.
Lydia’s AI Stack
Education
RJS First grade college, BCA
St. Euphoria's Girl High school
20163 yrs2019
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