Revenue Cycle QA Auditor

This is a fully remote position, open to applicants in United States.

📋 Description

• Deliver high-quality audit services to assess and enhance Revenue Cycle performance.

• Ensure that quality audits are executed accurately, impartially, and within designated timelines.

• Complete all necessary documentation that supports audit activities.

• Generate performance reports for staff members, departments, and leadership teams.

• Identify and communicate overall quality trends.

• Offer insights to the Education and Quality Director for training and development initiatives.

• Propose action plans in collaboration with trainers, managers, and/or team leaders.

• Manage audit disputes and provide prompt feedback to management and the Education and Quality Director.

• Foster internal customer relationships and ensure issues are resolved effectively.

• Organize audit schedules for personnel and departments.

• Design and produce detailed reports and individual quality scorecards.

• Contribute to the formulation of department policies and procedures.

• Communicate audit findings to managers, team leaders, and staff members.

• Ensure adherence to quality sign-off and documentation protocols.

• Evaluate and relay staff development requirements.

• Assist in creating training materials based on monthly audit insights.

• Occasionally support staff training efforts.

⛳️ Requirements

• A minimum of five (5) years of experience in billing and collections within a general hospital business office.

• Familiarity with A/R management concepts relevant to CAH/general hospital and business office operations.

• Expert-level knowledge in billing and/or collections for Medicare, Medicaid, commercial, and/or self-pay accounts.

• Proficiency in medical billing software, including Meditech, CPSI, Medhost, EPIC, Rycan, Emdeon, Change, Relay Health, Trubridge, Athena, etc.

• Exceptional written and verbal communication skills.

• Capability to manage workload, prioritize tasks, and multitask in a dynamic environment.

• Outstanding interpersonal skills.

• Strong critical thinking abilities.

• Proficient computer skills, particularly in Word, Excel, and PowerPoint.

• Strong leadership, organization, planning, and time management skills.

• Ability to quickly grasp new concepts and implement them effectively.

• Capacity to understand complex workflows and adhere to established procedures.

• High School Diploma or GED is required.

• A college degree or some college education is preferred.

• Additional certifications or training through CMS MedLearn, HFMA, AHAM, or AMA are preferred.

🏝️ Benefits

• Comprehensive health and wellness benefits, including medical, dental, vision, life insurance, and both short and long-term disability coverage.

• Health Savings Account (HSA) with employer contributions.

• Flexible spending accounts for health care and dependent care.

• Access to a wellness platform with premium incentives.

• Employee assistance support services.

• Voluntary supplemental plans, including accident, critical illness, hospital indemnity, and child disability insurance.

• Generous and flexible paid time off offerings.

• Company-paid holidays.

• 401(k) plan with discretionary employer matching opportunities.

• Opportunities for professional development.

• Equipment provided by the company.