Job Title: Assistant Manager –Quality (RCM)

Job Summary

The Quality Assistant Manager is responsible for overseeing and enhancing quality assurance processes across all RCM functions, billing, AR follow-up, and denial management. This role ensures compliance with client requirements, regulatory standards, and internal benchmarks while driving continuous improvement and operational excellence

Key Responsibilities
Quality Assurance s Auditing
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 s 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 s 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
Required Qualifications
Any graduate
8–12 years of experience in RCM with at least 3+ years in a quality leadership role
Key Skills s 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

📌 Assistant Manager Qaulity Chennai (India)
🏢 MedExpert Billing and Consulting
📍 India