RCM QA Auditor & Trainer at Care Hospice

, , United States -

Full Time

Start Date

Immediate

Expiry Date

29 Jan, 26

Salary

66000.0

Posted On

31 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Microsoft Office Suite, Excel, Revenue Cycle Management, Billing Operations, Auditing, Compliance, Training, Process Improvement, Healthcare, Interpersonal Skills, Communication Skills, Analytical Skills, EMR Billing Platforms, Medicare Guidelines, Medicaid Guidelines, Payer Rules

Industry

Hospitals and Health Care

Description

Overview We’re seeking a detail-oriented and proactive RCM QA Auditor/Trainer to ensure the accuracy, efficiency, and compliance of our Revenue Cycle Management (RCM) processes. In this role, you’ll play a vital part in maintaining the integrity of billing operations by performing regular audits, identifying training opportunities, and ensuring adherence to best practices across both internal teams and outsourced RCM vendors. You’ll be hands-on in reviewing billing workflows — from new patient setups to payment posting — and help shape how we deliver excellence through continuous process improvement and team development. If you’re passionate about quality, enjoy digging into the details, and thrive in a fast-paced healthcare environment, this is the role for you. ** This is a remote position working Monday - Friday during normal business hours (eastern time zone). Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. ** Who we are: At Care Hospice, we're not just a company; we're a team united by a common goal – providing exceptional hospice and palliative care to those in need. As a leading national provider, we take pride in our patient-centric approach and the positive impact we make on countless lives. And right now, we're in a period of rapid growth, making it the perfect time to join us on our exciting journey! Our commitment to our colleagues is unwavering, and we offer an exceptional compensation package and industry-leading benefits, including: Comprehensive Health, Dental, & Vision Insurance Company matching 401(k) to secure your future A generous time-off package with 15 days of PTO & 10 Holidays Tuition Reimbursement & Certification Assistance to support your professional growth Wellness & Discount Programs to help you lead a healthy and balanced life Cell Phone, Mileage, & Gym Membership Reimbursement for your convenience Responsibilities Drive quality assurance excellence by performing daily reviews of new patient entries from all agencies, ensuring accuracy and compliance from the start of the billing process. Ensure billing integrity through regular audits of biller and collector work, verifying that all unpaid claims are managed promptly and effectively. Safeguard financial accuracy by reviewing payment posting and adjustment activities to confirm proper claims transactions and adherence to internal standards. Monitor vendor performance by evaluating QA processes of outsourced RCM partners to maintain consistency and accountability. Continuously improve operations by reviewing and updating RCM team policies and procedures to reflect the most efficient and effective billing practices. Optimize systems and workflows by maintaining a deep understanding of all revenue cycle platforms and identifying ways to enhance their use and impact. Stay ahead of compliance changes by maintaining up-to-date knowledge of federal and state billing regulations, eligibility requirements, and payer rules. Support team growth by identifying training needs, developing learning resources, and providing one-on-one or group coaching to enhance team performance. Collaborate and innovate with cross-functional partners to identify opportunities for process improvement and standardization. Champion excellence by modeling accountability, accuracy, and professionalism in all aspects of the revenue cycle. Qualifications Technical Skills: Proficiency in Microsoft Office Suite; intermediate to advanced Excel skills required. Experience: Minimum of 3-5 years in revenue and collections management, preferably within a post-acute healthcare setting. Coding Audit experience a plus! Education: Bachelor’s degree in Business Administration or a related field preferred. CPC, RHIT, or RHIA a plus! Knowledge: Familiarity with Medicare, Medicaid, and commercial payer guidelines and compliance standards preferred. Systems: Experience with EMR billing platforms required; Netsmart or Matrix experience strongly preferred. Analytical Ability: Demonstrated skill in process analysis, improvement planning, and managing multiple priorities. Professionalism: Strong interpersonal, written, and verbal communication skills with the ability to build positive relationships. Integrity: High level of discretion in handling confidential information with professionalism and maturity. Compliance: Must successfully complete a criminal background check and drug screening. $62,000 - $66,000 per year (Average Pay Range). The pay range listed represents a general guideline for the role and is not a guarantee of the final offer. Compensation will be determined based on the selected candidate’s relevant experience and the specific responsibilities of the position. Final compensation rate will be discussed and confirmed at the conclusion of the interview process.

Responsibilities

The RCM QA Auditor/Trainer will perform regular audits to ensure the accuracy and compliance of billing operations while identifying training opportunities. This role involves reviewing billing workflows and collaborating with teams to enhance operational efficiency.