RCM Quality Assurance Analyst

Position Overview:

The RCM QA Analyst will be responsible for conducting audits across revenue cycle processes to ensure accuracy, consistency, and compliance. This role supports the success of a newly formed offshore team and established onshore teams by providing structured quality feedback and identifying opportunities for process and performance improvements. The analyst is expected to be cross-functional across RCM operations (insurance verification, billing, collections, cash applications, etc.), and will contribute directly to ensuring high-quality output from both onshore and offshore partners. Feedback from audits will be routed to department managers for formal coaching and development.

Key Responsibilities

• Perform audits on revenue cycle tasks and accounts to ensure accuracy and adherence to policies.
• Participate in weekly, monthly, and quarterly audit cycles.
• Document audit findings and maintain accuracy scores in shared tracking tools (initially Excel-based).
• Collaborate with department managers to route and deliver feedback to team members.
• Contribute to QA scorecards and help define audit metrics over time.
• Remain up to date on RCM processes and maintain a working knowledge of all related systems.
• Participate in calibration and audit consistency discussions.
• Support ongoing training efforts by identifying knowledge gaps or recurring issues.
• Help beta test or onboard future QA tools (e.g., Kaleidoscope, Advantx).
• Other duties as assigned.