[Hiring] Revenue Cycle QA Auditor @Ovation Healthcare

Role Description

The Revenue Cycle QA Auditor reflects the mission, vision, and values of Resolution RCM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards. This position will report to the Education and Quality Director.

• Responsible for providing quality audit services to evaluate and improve Revenue Cycle performance.
• Ensures that all quality audits are completed accurately, objectively, and in a timely manner.
• Completes all necessary documentation to support audit work.
• Creates performance reports for staff, department, and leadership as required.
• Identifies and produces reports for overall quality trends and provides input to Education and Quality Director for training and development.
• Makes recommendations for the development of action plans with trainers, Managers, and/or Team Leads.
• Processes audit disputes, providing thorough and timely feedback to management and Education and Quality Director.
• Manages internal customer relationships and follows issues through to closure.
• Completes other duties assigned by Education and Quality Director.

Qualifications

• Minimum five (5) years of general hospital business office billing and collections experience.
• Understands A/R management concepts for CAH/general hospital, and business office operations.
• Expert level billing and/or collections with Medicare, Medicaid, commercial and/or self-pay.
• Medical billing software expertise in (but not limited to): Meditech (MAGIC, Client Server or Expanse), CPSI, Medhost, EPIC, Meditech, Rycan, Emdeon, Change, Relay Health, Trubridge, Athena, etc.
• Excellent written and verbal skills and demonstrates the ability to manage workload and prioritize while multi-tasking in a fast-paced environment.
• Must possess excellent people skills.
• Critical thinking skills.
• Strong computer skills (Word, Excel, PowerPoint).
• Strong leadership, organization, planning and time management skills.
• Strong ability to grasp new concepts and apply them.
• Strong ability to understand complex workflows and follow procedures.

Education

• High School Diploma or GED required, college degree or some college preferred.
• Additional certification/training via CMS MedLearn, HFMA, AHAM, AMA preferred.

Benefits

• The base compensation range for this position is: $61,111.77 - $91,667.65.
• Compensation ranges could be hourly or salary depending upon the exempt status of the posted position.
• Beginning compensation is determined based on objective factors such as location, qualifications, skills, certifications, and experience.
• Compensation may increase over time based on performance, experience, and tenure.
• Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage.
• HSA with employer contributions, flexible spending accounts for health care, and dependent care accounts.
• Wellness platform with premium incentives.
• Employee assistance support and additional voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance.
• Robust and flexible paid time off offerings and company paid holidays.
• 401(k) plan with discretionary employer match opportunities.
• Professional development opportunities.
• Company issued equipment.