SDM Quality – RCM
3 weeks ago
Experience: 10+ Years
Location: Bangalore. Chennai.
Shift timing: Night Shift
Mandatory Skills: Overall 10+ yrs. of RCM experience. Min 5 yrs. mandatory QA hands-on experience. Should have been in a leadership/ Management role.
Lean, Six Sigma, Project Management practical experience and certification preferred.
Key Responsibilities:
1. ** Quality Assurance Strategy : ** Develop and implement a comprehensive quality assurance strategy for RCM & Coding services, aligned with organizational goals and objectives.
2. ** Quality Standards and Procedures : ** Establish and maintain quality standards, policies, and procedures to ensure the reliability, accuracy, and compliance of HMS solutions with industry regulations and best practices.
3. ** Quality Control Processes : ** Implement robust quality control processes, including sampling protocols, calibration, and coaching, to identify and address any deficiencies or deviations from quality standards (process or user level).
4. ** Compliance Management : ** Ensure compliance with relevant healthcare regulations, data security standards, and industry certifications, such as HIPAA, HITECH, and HITRUST, ISO 27001, etc.
5. ** Performance Monitoring : ** Monitor and analyze performance metrics and key performance indicators (KPIs) to assess the effectiveness of quality assurance efforts and identify areas for improvement.
6. ** Risk Management : ** Identify potential risks and vulnerabilities within RCM and Coding services, conduct risk assessments, and develop risk mitigation strategies to safeguard against quality-related incidents.
7. ** Customer Satisfaction : ** Collaborate with customers, stakeholders, and end-users to gather feedback, address concerns, and enhance customer satisfaction with HMS solutions.
8. ** Continuous Improvement : ** Lead and support continuous improvement initiatives, including root cause analyses, corrective actions, and preventive measures, to drive ongoing enhancements to HMS quality and performance, including but not limited to Automation and Tech leverage.
9. ** Documentation and Reporting : ** Maintain accurate documentation of quality assurance activities, audit findings, compliance records, and performance metrics. Prepare and present reports on quality metrics, trends, and performance to Leadership.
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