Revenue Cycle QA Auditor

🔥 20 hours ago

🇺🇸 United States – Remote

💵 $61.1k - $91.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

👻 Ghost score 2%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ovation Healthcare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 45 years

💼 Consulting

📦 Logistics

🏭 Manufacturing

Consulting • Logistics • Manufacturing

Ovation Healthcare is a leading provider of shared services for independent hospitals and health systems. With over 45 years of experience, the company enhances hospital and system performance through services like leadership advisory, supply chain management, revenue cycle management, technology services, and clinical care management. Ovation Healthcare is dedicated to supporting the financial and clinical needs of hospitals while preserving their focus on patient care and community wellness. Their educational programs and consulting services aim to strengthen hospital operations, making healthcare delivery more efficient and effective.

📋 Description

• Provide quality audit services to evaluate and improve Revenue Cycle performance • Ensure quality audits are completed accurately, objectively, and on time • Complete documentation supporting audit work • Create performance reports for staff, departments, and leadership • Identify and report overall quality trends • Provide input to the Education and Quality Director for training and development • Recommend action plans with trainers, managers, and/or team leads • Process audit disputes and provide timely feedback to management and the Education and Quality Director • Manage internal customer relationships and follow issues through closure • Coordinate audit schedules for staff and departments • Design and produce reports and individual quality scorecards • Provide input on department policies and procedures • Communicate audit results to managers, team leads, and staff • Ensure compliance with quality sign-off and documentation procedures • Assess and communicate staff development needs • Assist with developing training materials based on monthly audit trends • Occasionally assist with staff training

🎯 Requirements

• Minimum five (5) years of general hospital business office billing and collections experience • Understanding of A/R management concepts for CAH/general hospital and business office operations • Expert level billing and/or collections with Medicare, Medicaid, commercial and/or self-pay • Medical billing software expertise including Meditech, CPSI, Medhost, EPIC, Rycan, Emdeon, Change, Relay Health, Trubridge, Athena, etc. • Excellent written and verbal skills • Ability to manage workload, prioritize, and multitask in a fast-paced environment • Excellent people skills • Critical thinking skills • Strong computer skills, including Word, Excel, and PowerPoint • Strong leadership, organization, planning, and time management skills • Ability to grasp new concepts and apply them • Ability to understand complex workflows and follow procedures • High School Diploma or GED required • College degree or some college preferred • Additional certification/training via CMS MedLearn, HFMA, AHAM, or AMA preferred

🏖️ Benefits

• Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage • HSA with employer contributions • Flexible spending accounts for health care and dependent care accounts • Wellness platform with premium incentives • Employee assistance support • Voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance • Robust and flexible paid time off offerings • Company paid holidays • 401(k) plan with discretionary employer match opportunities • Professional development opportunities • Company issued equipment