Remote RCM QA & Claims Supervisor

Eye Care Partners Career Opportunities; United States; Remote; USD 75,000 - 110,000; Full time

Job summary

EyeCare Partners is seeking a Quality Assurance Supervisor- Claims to oversee QA of charge posting and claims management for multiple practices. You will supervise teams, audit submissions, and drive standardization using data-driven insights to improve outcomes and regulatory compliance.

Strong experience in CPT/ICD-10/HCPCS, billing platforms, EHR/PMS systems, and QA coaching is required. Remote-friendly role with cross-functional collaboration and ongoing training initiatives.

Qualifications

• Knowledge of CPT, ICD-10, HCPCS coding.
• Experience with billing platforms and EHR/PMS systems.
• Detail oriented with strong organizational skills.
• Ability to lead and coach teams in QA processes.
• Familiarity with HIPAA, payer guidelines and regulations.

Responsibilities

• Supervise charge posting and claims production teams across internal and offshore resources.
• Audit claims submissions, edits, rejections, and charge entry for quality and timeliness.
• Conduct routine QA audits with sample rate and log errors.
• Track and report trends in errors to leadership.
• Create dashboards with QA metrics using PowerBI.
• Coordinate with managers to address training gaps and improvements.
• Lead weekly syncs to align QA findings with training plans.
• Maintain SOPs and QA procedures per billing guidelines.
• Resolve complex claims and ensure proper documentation.
• Provide training on billing protocols and regulatory updates.

Skills

CPT/ICD-10 coding

HCPCS coding

Billing workflows

PowerBI

NextGen

Waystar

Excel

Leadership

Communication

QA auditing

Tools

NextGen

Waystar

PowerBI

Excel

Job description

EyeCare Partners is seeking a Quality Assurance Supervisor- Claims to oversee QA of charge posting and claims management for multiple practices. You will supervise teams, audit submissions, and drive standardization using data-driven insights to improve outcomes and regulatory compliance.

Strong experience in CPT/ICD-10/HCPCS, billing platforms, EHR/PMS systems, and QA coaching is required. Remote-friendly role with cross-functional collaboration and ongoing training initiatives.