RCM QA Specialist
Core
Auditing Revenue Cycle Management transactions and call reviews to ensure compliance with policies and payer requirements.
Role type
RCM Quality Assurance Specialist
Builds
Accurate, compliant revenue cycle processes for medical practices
Domain
Healthcare / Revenue Cycle Management
Deliverable
dashboards & analysis
Required skills
Revenue Cycle Management auditing, transaction auditing, call review, FMEA, Excel, dispute resolution
Preferred skills
5+ years RCM experience, 1+ year auditing experience
Responsibilities
Conduct detailed audits of transactions and call reviews, provide direct feedback to colleagues, document errors and non-compliant practices, participate in FMEA sessions, create audit reports, respond to audit rebuttals
Seniority
Individual Contributor
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