Job Description
RCM Blended Quality Auditor
Industry: US Healthcare / Insurance
Work Mode: Onsite (Night Shift)
Job Summary
The RCM Blended Quality Auditor conducts quality audits across multiple RCM functions to ensure accuracy, compliance, and adherence to payer and documentation standards. The role supports quality improvement and operational excellence.
Key Responsibilities
Perform quality audits across Charge Capture, AR, Eligibility, CDI, and UM/UR.
Review documentation, charge entries, AR actions, and authorization decisions for accuracy.
Identify errors, trends, and root causes; share feedback with operations teams.
Maintain audit reports, dashboards, and quality logs.
Ensure compliance with payer policies, coding guidelines, and HIPAA.
Participate in calibration sessions and support new hire audits.
Required Skills & Experience
3–6 years of US Healthcare RCM experience.
1–2 years in a quality/audit role preferred.
Strong knowledge of payer rules an...
Industry: US Healthcare / Insurance
Work Mode: Onsite (Night Shift)
Job Summary
The RCM Blended Quality Auditor conducts quality audits across multiple RCM functions to ensure accuracy, compliance, and adherence to payer and documentation standards. The role supports quality improvement and operational excellence.
Key Responsibilities
Perform quality audits across Charge Capture, AR, Eligibility, CDI, and UM/UR.
Review documentation, charge entries, AR actions, and authorization decisions for accuracy.
Identify errors, trends, and root causes; share feedback with operations teams.
Maintain audit reports, dashboards, and quality logs.
Ensure compliance with payer policies, coding guidelines, and HIPAA.
Participate in calibration sessions and support new hire audits.
Required Skills & Experience
3–6 years of US Healthcare RCM experience.
1–2 years in a quality/audit role preferred.
Strong knowledge of payer rules an...
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