Healthcare Revenue Cycle Quality Auditor

Ovation Healthcare; Oregon; Hybrid; USD 61,000 - 92,000; Full time

Benefits offered by this job

Health and wellness benefits

401(k) plan

Paid time off

Company equipment

Job summary

Ovation Healthcare is seeking a Revenue Cycle QA Auditor to support quality audits that improve the performance of the organization’s revenue cycle. The role reports to the Education and Quality Director and focuses on accurate, timely audit work and actionable recommendations.

The successful candidate will analyze audit results, create scorecards, and coordinate with trainers and department leaders to drive improvements and compliance across departments.

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, 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.

Responsibilities

• 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.

Skills

Five years of hospital billing/claims

A/R management concepts

Medicare/Medicaid/Commercial billing

Excellent written and verbal skills

MS Office (Word, Excel, PowerPoint)

Leadership and time management

Ability to grasp complex workflows

Education

High School Diploma or GED

College degree preferred

CMS MedLearn/HFMA/AHAM/AMA certifications preferred

Tools

Meditech

CPSI

Medhost

EPIC

Rycan

Emdeon

Change

Relay Health

Trubridge

Athena

Job description

Ovation Healthcare is seeking a Revenue Cycle QA Auditor to support quality audits that improve the performance of the organization’s revenue cycle. The role reports to the Education and Quality Director and focuses on accurate, timely audit work and actionable recommendations.

The successful candidate will analyze audit results, create scorecards, and coordinate with trainers and department leaders to drive improvements and compliance across departments.