RCM Quality Specialist

BJC HealthCare • St. Louis, MO

2d • Remote

About The Position

BJC HealthCare is seeking an RCM Quality Specialist to support Revenue Cycle Management (RCM) teams. The role focuses on improving individual and team performance through quality audits, training resources, standard work documentation, analytic reporting, and mitigation plans. The specialist applies revenue cycle subject matter expertise, particularly in patient access and revenue management, to identify performance gaps and broader quality trends, investigate root causes, and coordinate improvements with leaders and training specialists.

This is a fully remote, Monday–Friday role requiring independent work and an understanding of medical insurance, billing, and follow-up processes. The specialist develops training documents and scorecards, performs audits, follows up on billing issues, and contributes to special projects, such as a Denial Prevention Task Force. The position also maintains current, accessible, and accurate standard work and incorporates it into training materials.

BJC HealthCare is a nonprofit health care organization serving communities primarily in the greater St. Louis, southern Illinois, and southeast Missouri regions. It has more than 30,000 employees and operates 14 hospitals and multiple community health locations.

Requirements

• Associate's degree.
• 2–5 years of experience.
• Understanding of medical insurance, billing, and follow-up processes.
• Ability to work independently.
• High level of attention to detail.
• Revenue cycle expertise, particularly in patient access and revenue management.

Nice To Haves

• Bachelor's degree.
• 5–10 years of experience.
• Background in RCM or Patient Access.

Responsibilities

• Partner with leaders to identify individual and team-level metrics that guide data collection, training content, mitigation planning, and workflow or standard-work changes.
• Develop and continuously improve RCM quality management systems for individual performance audits and mitigation plans, as well as team-level quality audits and mitigation plans.
• Conduct performance audits in collaboration with training specialists and preceptors, and communicate performance and quality gaps to RCM leaders.
• Review individual performance and quality analytic reports to identify trends in gaps.
• Collaborate with leaders and training specialists to analyze the root causes of quality gaps and develop and implement mitigation plans.
• Identify trends that may require additional training, standard-work changes, or other interventions.
• Collaborate with training specialists and department leaders to ensure standard work—including policies, procedures, and workflows—is documented, accessible, current, thorough, and accurate for each job role.
• Incorporate standard work into training courses and materials and promote consistency across departments.
• Follow up on billing issues and work on special projects, such as a Denial Prevention Task Force.
• Develop training documents and create scorecards.

Benefits

• Comprehensive medical, dental, vision, and life insurance, and legal services available the first day of the month after hire.
• Disability insurance paid for by BJC.
• Annual 4% BJC automatic retirement contribution.
• 401(k) plan with BJC match.
• Tuition assistance available on the first day.
• BJC Institute for Learning and Development.
• Health Care and Dependent Care Flexible Spending Accounts.
• Paid Time Off combining vacation, sick days, holidays, and personal time.
• Adoption assistance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree