Job Description Summary:
The Associate Manager – Quality, RCM is responsible for leading, monitoring, and continuously improving the quality assurance function within Revenue Cycle Management operations. This is a people-plus-process leadership role that combines hands-on audit governance with team management, client engagement, and strategic quality improvement.
You will serve as the primary quality ambassador between operations, clients, and senior leadership — ensuring compliance with payer guidelines, HIPAA regulations, and internal SOPs while driving performance excellence across all QA analysts. You will own the quality scorecard, shape audit strategy, and build a culture of accountability and continuous learning within your team.

KEY RESPONSIBILITIES

Quality Oversight & Governance
- Own and enforce quality benchmarks across all RCM functions — coding, billing, AR follow-up, denial management, and payment posting
- Establish and maintain quality control checkpoints at each stage of the revenue cycle workflow
- Ensure 100% alignment with CMS guidelines,



payer-specific rules, client contractual obligations, and HIPAA/PHI regulations
- Define and manage the monthly/quarterly audit plan, sampling strategies, and QA frameworks

Audit Management & Root Cause Analysis
- Oversee daily, weekly, and monthly transaction audits and calibration sessions across all RCM verticals
- Drive root cause analysis (RCA) for all identified errors and ensure actionable corrective plans are documented and tracked
- Maintain comprehensive audit trails and error logs for regulatory and client review
- Identify recurring defect patterns and escalate critical findings to operations leadership with data-backed reports

Team Leadership & People Management
- Lead, mentor, coach, and manage a team of 20+ QA analysts, ensuring equitable workload distribution and skilled growth
- Facilitate regular team huddles, one-on-one feedback sessions, and calibration meetings to promote a quality-

📌 RCM Associate Manager (Pune)
🏢 Pune
📍 Pune