Title : Quality Manager - Revenue Cycle Management (RCM) – Chennai

Shift: 6.30pm to 3.30am

Key Responsibilities
10–12 years of experience in RCM with at least 3+ years in a quality leadership role
Develop and implement quality assurance frameworks across RCM processes
Conduct regular audits of coding, billing, and AR processes
Ensure adherence to payer guidelines, client SOPs, and regulatory standards (HIPAA, CMS, etc.)
Monitor accuracy, productivity, and compliance metrics
Process Improvement
Identify quality gaps and root causes of errors
Drive continuous improvement initiatives (Lean, Six Sigma, etc.)
Collaborate with operations teams to reduce denials and improve first-pass yield
Standardize best practices across teams
Team Management
Lead and mentor QA analysts and auditors
Set performance goals and KPIs for the quality team
Conduct regular training and calibration sessions
Ensure consistency in audit scoring and feedback
Reporting & Analytics
Prepare and present quality dashboards and reports to leadership and clients




Track KPIs such as accuracy rates, denial rates, turnaround time, and rework
Provide actionable insights to improve operational performance
Compliance & Risk Management
Ensure compliance with healthcare regulations (HIPAA, ICD-10, CPT, HCPCS)
Conduct internal compliance audits
Support external audits and client reviews
Mitigate risks related to billing errors and revenue leakage
Client Interaction
Act as a quality SPOC for clients
Participate in client calls and business reviews
Address client escalations related to quality issues
Align quality goals with client expectations

Key Skills & Competencies
Solid knowledge of end-to-end RCM processes
Expertise in medical coding, billing, and denial management
Analytical and problem-solving skills
Leadership and stakeholder management
Excellent communication and presentation skills Familiarity with quality tools and methodologies

📌 Quality Manager Revenue Cycle Management Rcm Chennai
🏢 Golden Opportunities
📍 Chennai