RCM Quality Assurance Analyst

Department: Revenue Cycle Management

About the Role

We’re hiring an RCM Quality Assurance Analyst to drive revenue integrity through reliable data analysis, quality audits, KPI dashboards and management reporting across the revenue cycle.

Key Responsibilities

• Extract, validate and report on RCM data, including claims, billing, approvals, denials and reconciliation
• Carry out quality assurance audits and track corrective actions to closure
• Build and maintain RCM KPI dashboards and analyze denial and payer trends
• Present audit findings and recommendations to RCM leadership
• Support CHI, MOH, CBAHI and JCI compliance, and NPHIES data quality

Qualifications

• Education: Bachelor’s in Health Informatics, Data Analytics, Statistics, Finance or HIM (Master’s degree, CPHQ)
• Experience: 3+ years in data analysis, QA or reporting in healthcare RCM or hospital administration (RCM dashboards and audit frameworks)

Skills and Competencies

• Advanced knowledge of healthcare RCM workflows and KPIs
• Advanced skills in Excel and BI dashboards, plus data visualization
• Data validation, audit sampling and root-cause analysis
• Claims denial and payer trend analysis
• Strong communication and presentation skills
• Analytical thinking and close attention to detail