Quality Analyst for Medical Billing

Surgical Notes is hiring a Quality Analyst (RCM) who will be responsible for Complete comprehension of the revenue cycle. Audits daily and provides feedback to teammates. Works with senior teammates to propose process improvements to ensure work transitions should be error-free and can apply knowledge across other clients. Working as a part of the team to meet deadlines, but also being able to work independently is crucial to success in this position. Our organization prides itself on being built upon a set of strong core values. We are looking for a candidate who will actively exhibit these core values: Service Excellence, Transparency, Teamwork, Accountability, Hard work, and Positive Attitude.

 External Title: Quality Analyst RCM

Internal Title: IN RCM Professional

Reports to: Sr. Vice President

Responsibilities:

1. Auditing – Ensures that task transitions to new teammate are error-free and the audit is performed on a daily, weekly, bi-weekly or on monthly basis as per the requirement and review results, provides feedback to the audited teammate and offer suggestions for areas of improvement to gain a better understanding of the billing process.
2. Facility Learning - The Quality Analyst has deep knowledge of the client that he or she is leading. A Quality Analyst should take the initiative and spend time with other teammates on his or her client to learn about the other tasks that are required by the other teammates. Facility learning will also ensure that new information can be updated on any Zulu documents that contain client information, such as the billing guidelines and the A/R cheat sheet. Preparing reports and summaries in discussion with the Team Leader.
3. Communication of Client Information and Rules
   1. Providing updates to RCM regularly to ensure teammates know of new information and rules. The below items are considered a part of, but not limited to, client information:
      1. Billing Guidelines
      2. Payer contracts

 Other Responsibilities

• Displaying cool and composed attitude during rebuttals and discussions.
• Meet regularly with Team leaders/Supervisor to review previous day quality results.
• Highlight potential issues in the operations to management.
• Weekly review with supervisors.
• Trending errors to determine training opportunities.
• May provide small group or one-on-one training/cross-training.
• Develop recommendations for corrective action based on quality issues.
• Maintains current knowledge of Health policies and guidelines related to documentation, billing, revenue cycle, and as assigned, other professional integrity topics.
• Develops or assists in developing training materials. Participates in a positive, helpful, manner at Quality staff meetings as assigned.
• Taking initiatives to improve process and quality mechanism.

Role Information:

• Full-Time
• Salaried
• Exempt
• Eligible for Benefits

Job Requirements:

Required Knowledge, Skills, Abilities & Education:

• Candidate must have minimum 5 years of experience with at least 2 years of experience as a Quality Analyst in medical billing.
• Good and expertise knowledge in Medical Billing, billing rules required and revenue cycle.
• Process improvement mindset and ability to impact change is a must.
• Good analytical skills and proficiency with MS Word, Excel, and PowerPoint.
• Excellent written & verbal communication skills.

 Preferred Knowledge, Skills, Abilities & Education:

• Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
• Strong Microsoft Office skills in Excel, Outlook, and Teams
• Experience working in UKG Pro Learning

Physical Demands:

• Sitting and typing for an extended period of time
• Reading from a computer screen for an extended period of time
• Speaking and listening on a telephone
• Working independently
• Frequent use of a computer and other office equipment

• Work environment of a traditional fast-paced and deadline-oriented office

Key Competencies:

1. Attention to Detail
2. Organization
3. Communication
4. Collaboration
5. Staff Development

About Surgical Notes

Surgical Notes is the premier ASC revenue cycle management and billing services partner. Our expert teams with ASC-specific experience provide scalable billing, transcription, coding, and document management services and solutions that fully integrate with all leading ASC practice management systems. The largest management companies and hundreds of ASCs that partner with Surgical Notes experience and benefit from immediate operational and financial improvements that exceed industry performance levels.

Surgical Notes is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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