Zio by iRhythm
RCM Process & Quality Analyst Lead
Location
United States
Posted
5 days ago
Salary
$115K - $149K / year
Seniority
Senior
Job Description
RCM Process & Quality Analyst Lead
iRhythm Technologies, Inc.
• Lead the design, execution, and continuous improvement of the RCM audit approach • Establish and oversee internal and vendor-facing audit programs • Lead and govern call quality and performance review programs • Develop, standardize, and oversee RCM scorecards, KPIs, and performance frameworks • Own SOX compliance activities, including control design, execution oversight • Serve as a primary point of contact for Internal Audit and Compliance • Lead governance of payer portal access controls, offshore restrictions • Oversee payer contract validation and system configurations • Lead process improvement initiatives, defining future-state workflows
Job Requirements
- 5 + years of experience in healthcare revenue cycle or related operational functions
- Strong understanding of LCDs/NCDs, payer contracts, claims adjudication, denial codes, and reimbursement workflows
- Demonstrated expertise in SOX compliance within medical billing, including control design, execution, and governance
- Proven success in leading cross-functional initiatives, influencing stakeholders, and driving organizational change
- Experience interfacing with Internal Audit, Compliance, or external auditors, including ownership of audit outcomes and remediation efforts
- Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUP, macros, etc.)
- Experience with CRM systems, especially Salesforce.
- Bachelor's degree in Healthcare Administration, Health Information Management, Business Administration, Finance, or a related field; or equivalent work experience.
Benefits
- Health insurance
- Professional development opportunities
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