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Mid-level metro QA role with popular title but specialized US RCM focus reduces applicant density.
Requires US healthcare RCM and NOA/authorization knowledge, limiting cross-industry transferability.
Mandatory 3+ years US RCM, QA/auditor experience and UG degree enforce strict filtering.
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Conduct quality audits on US healthcare inpatient and observation accounts focusing on Notification on Admission (NOA) accuracy and compliance.
Perform root cause analysis on audit defects, develop and track corrective action plans, and provide feedback to improve processes.
Prepare and deliver quality reports on SLA and accuracy metrics; participate in training and calibration sessions to ensure audit consistency.
Minimum 3 years of experience in US Healthcare Revenue Cycle Management (RCM).
Any undergraduate degree (Diploma not eligible).
Prior experience in a Quality Assurance or Auditor role within US Healthcare RCM.
Willingness to work night shifts.
Strong expertise in Authorization and Notification on Admission workflows within US Healthcare RCM.
Experience in conducting quality audits, root cause analysis, and quality reporting in healthcare revenue cycle.
Ability to analyze data trends and drive performance improvement initiatives based on audit findings.