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Common mid-level RCM QA role, metro location, and moderate employer brand increase applicant competition.
Highly domain-specific US healthcare RCM and authorization expertise limits transferability across industries.
Mandatory 3+ years RCM experience, UG degree, and QA background enforce firm candidate filters.
Conduct quality audits on inpatient and observation accounts focusing on Notification on Admission (NOA) compliance and documentation accuracy.
Perform root cause analysis on defects, develop and track corrective action plans, and provide actionable feedback to improve process quality and compliance.
Prepare and maintain quality reports on SLAs and accuracy metrics, participate in team reviews, and support calibration and training initiatives to enhance quality standards.
Minimum 3 years of experience in US Healthcare Revenue Cycle Management (RCM).
Strong knowledge and hands-on experience with Authorization and Notification on Admission (NOA) workflows.
Any undergraduate degree required; diploma qualifications are not eligible.
Willingness to work on night shifts.
Experience in quality audits or quality assurance roles within US Healthcare RCM environment.
Analytical and detail-oriented with strong problem-solving skills demonstrated through root cause analysis and CAPA management.
Ability to communicate clear and constructive feedback on audit findings and support performance improvement initiatives.