Quality Manager – Revenue Cycle Management (RCM) – Chennai – GO/JC/3116/2026 Full Time NEW

Title : Quality Manager – Revenue Cycle Management (RCM) – Chennai

Shift: 6.30pm to 3.30am

Key Responsibilities

• 10–12 years of experience in RCM with at least 3+ years in a quality leadership role
• Develop and implement quality assurance frameworks across RCM processes
• Conduct regular audits of coding, billing, and AR processes
• Ensure adherence to payer guidelines, client SOPs, and regulatory standards (HIPAA, CMS, etc.)
• Monitor accuracy, productivity, and compliance metrics
• Process Improvement
• Identify quality gaps and root causes of errors
• Drive continuous improvement initiatives (Lean, Six Sigma, etc.)
• Collaborate with operations teams to reduce denials and improve first-pass yield
• Standardize best practices across teams
• Team Management
• Lead and mentor QA analysts and auditors
• Set performance goals and KPIs for the quality team
• Conduct regular training and calibration sessions
• Ensure consistency in audit scoring and feedback
• Reporting & Analytics
• Prepare and present quality dashboards and reports to leadership and clients
• Track KPIs such as accuracy rates, denial rates, turnaround time, and rework
• Provide actionable insights to improve operational performance
• Compliance & Risk Management
• Ensure compliance with healthcare regulations (HIPAA, ICD-10, CPT, HCPCS)
• Conduct internal compliance audits
• Support external audits and client reviews
• Mitigate risks related to billing errors and revenue leakage
• Client Interaction
• Act as a quality SPOC for clients
• Participate in client calls and business reviews
• Address client escalations related to quality issues
• Align quality goals with client expectations

Key Skills & Competencies

• Strong knowledge of end-to-end RCM processes
• Expertise in medical coding, billing, and denial management
• Analytical and problem-solving skills
• Leadership and stakeholder management
• Excellent communication and presentation skills Familiarity with quality tools and methodologies

Skills Required

RoleQuality Manager – Revenue Cycle Management (RCM) – Chennai

Industry TypeITES/BPO/KPO

Functional Area

Required Education Bachelor Degree

Employment TypeFull Time, Permanent

Key Skills

• QUALITY
• QUALITY MONITORING
• RCM OPERATIONS
• REVENUE CYCLE MANAGEMENT

Other Information

Job CodeGO/JC/3116/2026

Recruiter NameDevikala D