Revenue Cycle QA Auditor & Quality Improvement Lead

Ovation Healthcare; United States; Remote; USD 61,000 - 92,000; Full time

Benefits offered by this job

Health and wellness benefits

HSA with employer contributions

Wellness platform

Paid time off

401(k) plan

Professional development opportunities

Company issued equipment

Job summary

Ovation Healthcare, Brentwood, TN, is seeking a Revenue Cycle QA Auditor to join our team. This role focuses on delivering high-quality audits to improve revenue cycle performance and to support training initiatives under the Education and Quality Director.

You will produce performance reports, identify trends, and help develop action plans with trainers and Managers. The ideal candidate has 5+ years of hospital billing experience, strong analytic and communication skills, and is proficient with

Qualifications

• Minimum five (5) years of general hospital business office billing and collections experience.
• Expert level billing and/or collections with Medicare, Medicaid, commercial and/or self-pay.
• Understands A/R management concepts for CAH/general hospital, and business office operations.
• Strong computer skills (Word, Excel, PowerPoint).

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

Billing expertise

A/R management

Medicare/Medicaid

Communication

Critical thinking

Time management

Leadership

Excel

Education

High School Diploma or GED

CMS MedLearn/HFMA/AHAM training

Tools

Meditech

CPSI

Medhost

EPIC

Rycan

Emdeon

Change

Relay Health

Trubridge

Athena

Job description

Ovation Healthcare, Brentwood, TN, is seeking a Revenue Cycle QA Auditor to join our team. This role focuses on delivering high-quality audits to improve revenue cycle performance and to support training initiatives under the Education and Quality Director.

You will produce performance reports, identify trends, and help develop action plans with trainers and Managers. The ideal candidate has 5+ years of hospital billing experience, strong analytic and communication skills, and is proficient with