Document Quality Assurance Manager

Paycom - ATS; Rancho Cucamonga (CA); On-site; USD 80,000 - 90,000; Full time

Job summary

Paycom - ATS in Rancho Cucamonga, CA is seeking a DQA Manager to oversee DQA and Facility Billing processes, and to serve as a liaison between Operations and the Central Billing Office, providing direction and leadership to ensure compliant, efficient workflows.

The role requires 3–5 years in healthcare revenue cycle with management experience, strong communication and problem-solving skills, and a focus on accuracy.

Qualifications

• 3–5 years of healthcare revenue cycle experience with management preferred.
• Exceptional attention to detail required.
• High school diploma.
• Experience with MS Outlook, Word, and Excel.

Responsibilities

• Manage area DQA team supervisors and Facility Contract Billers to include timekeeping.
• Monitor Hold Dashboard for all operations and assist to reduce days to bill.
• Monitor DQA workflows for all operations.
• Monthly DQA Productivity/Accuracy Reporting
• Manage the licensure for each Operation to ensure no lapse in renewal.
• Update the license and contract database with expiration dates.
• Provide support and education for Operations regarding DQA and Facility Billing processes.
• Review Facility aging reports with Facility Billers
• Review, Sign, and Approve legal letters for Facility Billers.
• Assist Operations/Hold Specialists/DQA Supervisors by reviewing Service Level and GY holds.
• Assist DQA Supervisors in finding out of area DQA coverage due to staffing shortages.
• Identify and recommend solutions to Operations process improvement that affect billing.
• Performs as liaison between RCM and Operations
• Attend meetings when requested.
• Participate in company projects as requested.

Skills

DQA Leadership

Communication

Problem Solving

Attention to Detail

Regulatory Compliance

Coaching & Development

Education

High School Diploma

Tools

MS Outlook

MS Word

MS Excel

Job description

Job Details

Job Location: Rancho Cucamonga, CA 91737, Position Type: CONFIRE EMS, Salary Range: $80,000.00 - $90,000.00 Salary/year, Job Category: Quality Assurance, ROLE SUMMARY

ROLE SUMMARY

The DQA Manager oversees the DQA and Facility Billing processes in designated locations within the company. This person also acts as a liaison between Operations and the Central Billing Office, providing direction and leadership to the operation’s processes regarding DQA and Facility Billing.

KEY RESPONSIBILITIES

• Manage area DQA team supervisors and Facility Contract Billers to include timekeeping.
• Monitor Hold Dashboard for all operations and assist to reduce days to bill.
• Monitor DQA workflows for all operations.
• Monthly DQA Productivity/Accuracy Reporting
• Manage the licensure for each Operation to ensure no lapse in renewal.
• Update the license and contract database with expiration dates.
• Provide support and education for Operations regarding DQA and Facility Billing processes.
• Review Facility aging reports with Facility Billers
• Review, Sign, and Approve legal letters for Facility Billers.
• Assist Operations/Hold Specialists/DQA Supervisors by reviewing Service Level and GY holds.
• Assist DQA Supervisors in finding out of area DQA coverage due to staffing shortages.
• Identify and recommend solutions to Operations process improvement that affect billing.
• Performs as liaison between RCM and Operations
• Attend meetings when requested.
• Participate in company projects as requested.

Minimum Requirements

• Listening and Communication Skills - demonstrated ability to listen to the ideas and opinions of others actively and attentively, to communicate clearly and succinctly to get the desired message across and to provide timely feedback on project status.
• Work Behavior - demonstrated ability to work well independently, with little supervision or direct guidance needed, or in a team and the ability to convey the necessary confidence to achieve objectives even in tough situations.
• Problem Solving Skills - demonstrated ability to define difficult problems by asking key questions and helping develop creative and effective solutions.
• Business and Technical Expertise - demonstrated business experience with the Zoll Billing/CAD system.
• Results Oriented -- demonstrated ability to achieve results and add value to the organization. Must possess a sense of urgency and ability to function within a dynamic, fast paced and changing structure.
• Attention to Detail – demonstrated ability to ensure accuracy of work product.
• Role Model -- demonstrates the types of knowledge, skills, abilities, and attitude that leadership would want others to emulate.
• Display a positive attitude toward the position held, Priority Ambulance, and its employees, clients, partners, or affiliates.
• Work extended hours as needed.

Qualifications and Education Requirements

• 3-5 years of experience in healthcare revenue cycle with management experience preferred.
• Exceptional attention to detail required.
• High school diploma.
• Experience with MS Outlook, Word, and Excel

PHYSICAL REQUIREMENTS

• The ability to reach, push and pull.
• Ability to sit, stand, walk, bend, and lift up to 25 pounds occasionally
• Ability to use computers and office equipment for extended periods
• Ability to review documentation and electronic records for prolonged periods
• Ability to travel between operational sites and healthcare facilities
• Ability to respond to operational or clinical situations as needed

CORE COMPETENCIES

• Quality Assurance Leadership
• Regulatory Compliance
• Analytical Thinking
• Process Improvement
• Coaching & Development
• Data Interpretation
• Risk Identification
• Communication Skills
• Documentation Integrity
• Accountability

REPORTING RELATIONSHIP

Reports directly to the Regional Director, Clinical Services or designee.

WORK ENVIRONMENT & TRAVEL

Travel Requirements

Moderate travel may be required for audits, field observations, operational meetings, and training activities.

Work Environment

This role operates in both office and field environments supporting clinical quality assurance and compliance functions. Exposure to EMS operational settings, healthcare facilities, and patient care documentation is expected.