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Mid-level metro role with 3–6 years experience and moderate brand, leading to medium competition.
Role demands niche RCM and payer compliance experience, reducing cross-industry transferability.
Mandatory 4+ years RCM, 1+ year auditing, and healthcare compliance requirements make shortlisting strict (high).
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Conduct detailed audits of revenue cycle management transactions and call reviews to ensure compliance with company policies and regulatory guidelines.
Provide direct feedback and coaching to team members to improve quality and adherence to standards.
Generate regular audit reports and participate in process improvement initiatives such as FMEA sessions to enhance operational excellence.
Bachelor’s degree in any discipline is mandatory.
Minimum 4 years of experience in Revenue Cycle Management (RCM) required, with at least 1 year in an auditing role.
Proficiency in basic Excel for data tracking and reporting required.
Work Experience Required: Minimum 4 years in RCM, 1 year auditing experience explicitly mentioned.
Experienced individual contributor skilled in conducting compliance audits and identifying process improvements within RCM.
Strong communication skills to deliver constructive feedback and collaborate with operations teams during calibration.
Comfortable working independently with accountability for audit quality and dispute resolution within a regulated healthcare environment.