Revenue Cycle Management Quality Analyst - Vizag

Job Posting: RCM Quality Analyst

Position Overview:

We are looking for a detailoriented and analytical Revenue Cycle Management Quality Analyst to join our team in Visakhapatnam. The RCM Quality Analyst will be responsible for evaluating and improving the quality of revenue cycle processes ensuring accuracy compliance and efficiency in all operations. The ideal candidate will have a keen eye for detail strong analytical skills and a deep understanding of healthcare revenue cycle management.

Key Responsibilities:

• Quality Monitoring: Assess the accuracy and quality of revenue cycle processes including eligibility verification billing coding claims submission and payment posting.
  
• Quality and Process Auditing: Conduct regular audits of RCM production and processes to identify discrepancies errors and areas for improvement.
  
• Data Analysis: Analyze data to identify trends root causes of errors and opportunities for process optimization.
  
• Compliance: Ensure all RCM activities comply with relevant regulations including HIPAA ICD10 and payerspecific guidelines.
  
• Reporting: Prepare detailed reports on audit findings quality metrics and improvement recommendations for management.
  
• Feedback & Training: Provide constructive feedback to the RCM teams team members and assist in training initiatives to enhance accuracy and efficiency.
  
• Continuous Improvement: Collaborate with the RCM team to implement process improvements and standardization efforts.
  
• Documentation: Maintain accurate and uptodate documentation of quality assurance activities and audit results.
  

Qualifications

Qualifications:

• Education: Bachelor s degree in healthcare administration finance business or a related field.
  
• Experience: Minimum of 24 years of experience in revenue cycle management with a focus on quality assurance or auditing.
  
• Technical Skills: Proficiency in RCM software electronic health records (EHR) and medical billing systems.
  
• Knowledge: Indepth understanding of healthcare billing coding and reimbursement processes including knowledge of ICD10 CPT and HCPCS codes.
  
• Analytical Skills: Strong ability to analyze data identify trends and provide actionable insights.
  
• Attention to Detail: Exceptional attention to detail with a focus on accuracy and compliance.
  
• Communication Skills: Excellent verbal and written communication skills with the ability to present findings clearly and effectively.
  
• ProblemSolving: Ability to identify issues and propose effective solutions to enhance process quality.
  
• Team Collaboration: Experience working in a teamoriented environment with a collaborative approach to problemsolving.