RCM Quality and Outcome Improvement Analyst
Core
Analyze RCM data to identify trends, prevent revenue leakage, and equip client success teams with operational insights to improve practice health and patient outcomes.
Role type
RCM Quality and Outcome Improvement Analyst
Builds
Data-driven operational insights and workflow improvements for physician practices
Domain
Healthcare Revenue Cycle Management (RCM)
Deliverable
dashboards & analysis
Required skills
End-to-end RCM experience, Physician Billing expertise, KPI analysis, Excel (formulas, pivot tables), Data trend identification, Claims auditing, Payer-provider credentialing monitoring, ERA enrollment tracking, Workflow automation identification
Preferred skills
None stated
Technologies
Excel, Web portal
Responsibilities
Review claims assigned to ModMed buckets and partner with Practice Facing teams to execute solutions; Track weekly Practice KPI metrics and performance presentations to identify improvement opportunities; Audit claims parked to the Practice level across all functions; Partner with global stakeholders to identify, track, and resolve systemic issues affecting practice performance; Monitor payer-provider credentialing updates and pursue ERA enrollments to expedite payments; Use data to identify opportunities for workflow automation and improve specialty-specific knowledge bases
Seniority
Mid-level, hands-on analyst