RCM Associate Manager - Quality

About the role

The Associate Manager – Quality, RCM is responsible for leading, monitoring, and continuously improving the quality assurance function within Revenue Cycle Management operations. This is a people-plus-process leadership role that combines hands-on audit governance with team management, client engagement, and strategic quality improvement.

What you'll do

• Quality Oversight & Governance
• Own and enforce quality benchmarks across all RCM functions — coding, billing, AR follow-up, denial management, and payment posting
• Establish and maintain quality control checkpoints at each stage of the revenue cycle workflow
• Ensure 100% alignment with CMS guidelines, payer-specific rules, client contractual obligations, and HIPAA/PHI regulations
• Define and manage the monthly/quarterly audit plan, sampling strategies, and QA frameworks

What you need

• 9–11 years in operations
• Reporting
• Six Sigma
• MIS reporting
• Excel
• Process improvement
• Data analysis
• Any graduate

Good to have

• SOP writing
• Root cause analysis
• Performance management