Location: Visakhapatnam, India Department: Revenue Cycle Management (RCM) Type: Full-Time
Position Overview:
We are looking for a detail-oriented 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, ICD-10, and payer-specific 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 up-to-date documentation of quality assurance activities and audit results.
Qualifications
Qualifications:
Education: Bachelor s degree in healthcare administration, finance, business, or a related field.