Deskripsi Pekerjaan
Join R1 RCM as a Clinical Quality Manager and drive excellence in healthcare operations. This pivotal role combines leadership in coding quality assurance with strategic compliance oversight to enhance revenue cycle integrity. You'll spearhead initiatives that ensure coding accuracy, regulatory adherence, and operational efficiency across our healthcare services. As a key member of our quality team, you'll implement robust QA frameworks, conduct comprehensive audits, and foster continuous improvement through data-driven insights. Your expertise will directly impact patient care outcomes and organizational performance, making this an ideal opportunity for professionals passionate about elevating healthcare standards.
Tanggung Jawab
- Lead coding quality assurance processes to ensure accuracy and compliance with healthcare regulations
- Develop and implement quality control systems for coding operations
- Conduct regular audits and performance reviews of coding teams
- Drive continuous improvement initiatives in quality management workflows
- Collaborate with cross-functional teams to enhance operational efficiency
- Ensure adherence to HIPAA, ICD-10, and other regulatory standards
- Report on quality metrics and recommend corrective actions
Kualifikasi
- Bachelor's degree in Healthcare Administration, Nursing, or related field
- Minimum 3 years of experience in healthcare quality management
- Certification in Healthcare Quality (CPHQ) preferred
- Expertise in coding QA processes and revenue cycle management
- Strong knowledge of healthcare compliance regulations
- Proficiency in quality management software and data analysis tools
- Excellent leadership and communication skills