RCM Quality Assurance Analyst

USPI•Dallas, TX

1d•$45,000 - $60,000

About The Position

The RCM QA Analyst will be responsible for conducting audits across revenue cycle processes to ensure accuracy, consistency, and compliance. This role supports the success of a newly formed offshore team and established onshore teams by providing structured quality feedback and identifying opportunities for process and performance improvements. The analyst is expected to be cross-functional across RCM operations (insurance verification, billing, collections, cash applications, etc.), and will contribute directly to ensuring high-quality output from both onshore and offshore partners. Feedback from audits will be routed to department managers for formal coaching and development.

Requirements

Experience in revenue cycle management (insurance verification, billing, collections, cash applications).
Familiarity with RCM processes and related systems.
Proficiency in Excel for tracking accuracy scores.
Ability to collaborate with department managers and deliver feedback.
Understanding of QA scorecards and audit metrics.
Willingness to stay updated on RCM processes.
Experience in calibration and audit consistency discussions.
Ability to identify knowledge gaps and recurring issues.
Experience with beta testing or onboarding QA tools is a plus.

Nice To Haves

Experience with QA tools such as Kaleidoscope or Advantx.

Responsibilities

Perform audits on revenue cycle tasks and accounts to ensure accuracy and adherence to policies.
Participate in weekly, monthly, and quarterly audit cycles.
Document audit findings and maintain accuracy scores in shared tracking tools (initially Excel-based).
Collaborate with department managers to route and deliver feedback to team members.
Contribute to QA scorecards and help define audit metrics over time.
Remain up to date on RCM processes and maintain a working knowledge of all related systems.
Participate in calibration and audit consistency discussions.
Support ongoing training efforts by identifying knowledge gaps or recurring issues.
Help beta test or onboard future QA tools (e.g., Kaleidoscope, Advantx).
Other duties as assigned.