
Senior Medical Billing Quality Professional
3 days ago
We are seeking an experienced Quality Assurance leader to drive quality excellence in medical billing operations.
- The ideal candidate will ensure process perfection, compliance with regulatory requirements, and continuous improvement across RCM functions.
- Key Responsibilities include establishing and monitoring quality standards, conducting regular audits and reviews, and implementing corrective actions.
The Quality Assurance Director will collaborate with operational teams to drive process enhancements and develop quality metrics.
Additionally, the role requires ensuring adherence to HIPAA guidelines, payer policies, and regulatory requirements.
The Quality Assurance Director will partner with stakeholders to present quality performance reports and improvement plans.
- Desired Profile includes 8–12 years of experience in RCM / medical billing quality function, strong understanding of quality frameworks and US healthcare regulations.
- Proven track record in driving quality initiatives and achieving measurable improvements is required.
- Excellent communication, analytical, and stakeholder management skills are essential.
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