Revenue Cycle Quality Assurance Specialist

Job Summary

To support a growing compliance team, the hybrid Revenue Cycle Quality Assurance Specialist will conduct audits on billing, coding, and accounts receivable activities for accuracy and compliance while developing audit tools and standards.

Key responsibilities

• Perform routine and targeted audits of revenue cycle activities, ensuring adherence to established requirements
• Identify and analyze billing errors and compliance concerns, conducting root-cause analysis to address issues
• Develop and maintain quality assurance reporting, tracking audit findings and corrective actions

Required qualifications

• Associate's degree in healthcare administration, business, or a related field, or equivalent practical experience
• Minimum of three years of experience in healthcare revenue cycle, medical billing, or auditing
• Demonstrated knowledge of end-to-end healthcare revenue cycle operations
• Experience with healthcare billing or revenue cycle systems is required
• Preferred certifications include CPMA, CPC, CRCR, CHC, or CAC