RCM Quality Assurance Specialist

Job Summary

Ensuring the accuracy and compliance of revenue cycle processes, the full-time RCM Quality Assurance Specialist will conduct audits, monitor performance indicators, and identify process improvements while collaborating with various RCM leaders in a remote work environment.

Key responsibilities

• Conduct quality reviews and audit revenue cycle claims and workflows against established standard operating procedures (SOPs)
• Develop, collect, analyze, and report on quality improvement initiatives supporting RCM operational functions
• Create and maintain quality measurements to track improvements in individual and team performance scores

Required qualifications

• Associate's or bachelor's degree preferred
• 3+ years of recent experience in an auditing/QA role or equivalent RCM job-related experience
• 2+ years of experience with athenaHealth and/or athenaOne preferred
• Advanced working knowledge of Google Suite and Excel, including data analysis and pivot tables
• Experience documenting processes, standard operating procedures, and policies