RCM Quality & Audit Specialist (Fully Remote)

Privia Health; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Remote work

Job summary

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology.

This role focuses on revenue cycle auditing, quality assurance, and process improvements within a fast-paced, remote environment.

Qualifications

• 3+ years in auditing/QA or equivalent RCM experience.
• Experience with athenaHealth/athenaOne preferred.
• Advanced Excel and Google Workspace skills required.
• Fast-paced, collaborative, and customer-focused.
• Remote work with required internet speed; reimbursement for expenses.

Responsibilities

• Perform quality reviews and audit claims and workflows.
• Develop and maintain quality measurements for team performance.
• Analyze data to identify deficiencies and report trends.

Skills

QA auditing

Advanced Excel

Google Workspace

Data analysis

Remote work

Job description

• Ensure accuracy, efficiency, and compliance of revenue cycle processes.
• Conduct audits, monitor KPIs, and identify process improvements.

Key Responsibilities:

• Perform quality reviews and audit claims and workflows.
• Develop and maintain quality measurements for team performance.
• Analyze data to identify deficiencies and report trends.

Qualifications:

• 3+ years in auditing/QA or equivalent RCM experience.
• Experience with athenaHealth/athenaOne preferred.
• Advanced Excel and Google Suite skills required.
• Fast-paced, collaborative, and customer-focused.
• Remote work with required internet speed; reimbursement for expenses.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology.