Revenue Cycle QA Auditor

Ovation Healthcare

. Provide quality audit services to evaluate and improve Revenue Cycle performance .

Posted 10/20/2026full-timeRemote • United StatesMid-LevelSenior💰 $61,112 - $91,668 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Revenue Cycle performance auditing, including quality audits, documentation, and compliance. Proficient in medical billing software and possesses strong leadership and communication skills to effectively manage training and development initiatives.

Highest-signal resume keywords

Revenue Cycle Performance AuditingMedical Billing Software ExpertiseA/R Management ConceptsExcellent Written And Verbal SkillsLeadership And Organization Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality AuditingDocumentationPerformance ReportingBilling And CollectionsA/R ManagementCritical ThinkingComputer SkillsWorkflow Understanding

Soft Skills

Excellent People SkillsTime ManagementAbility To MultitaskCommunication Skills

Tools & Technologies

MeditechCPSIMedhostEPICRycanEmdeonChangeRelay HealthTrubridgeAthena

Certifications & Qualifications

CMS MedLearnHFMAAHAMAMA

Industry Keywords

General HospitalBusiness Office OperationsMedicareMedicaidSelf-Pay

About the role

Key responsibilities & impact

Provide quality audit services to evaluate and improve Revenue Cycle performance
Ensure quality audits are completed accurately, objectively, and on time
Complete documentation supporting audit work
Create performance reports for staff, departments, and leadership
Identify and report overall quality trends
Provide input to the Education and Quality Director for training and development
Recommend action plans with trainers, managers, and/or team leads
Process audit disputes and provide timely feedback to management and the Education and Quality Director
Manage internal customer relationships and follow issues through closure
Coordinate audit schedules for staff and departments
Design and produce reports and individual quality scorecards
Provide input on department policies and procedures
Communicate audit results to managers, team leads, and staff
Ensure compliance with quality sign-off and documentation procedures
Assess and communicate staff development needs
Assist with developing training materials based on monthly audit trends
Occasionally assist with staff training

Requirements

What you’ll need

Minimum five (5) years of general hospital business office billing and collections experience
Understanding of A/R management concepts for CAH/general hospital and business office operations
Expert level billing and/or collections with Medicare, Medicaid, commercial and/or self-pay
Medical billing software expertise including Meditech, CPSI, Medhost, EPIC, Rycan, Emdeon, Change, Relay Health, Trubridge, Athena, etc.
Excellent written and verbal skills
Ability to manage workload, prioritize, and multitask in a fast-paced environment
Excellent people skills
Critical thinking skills
Strong computer skills, including Word, Excel, and PowerPoint
Strong leadership, organization, planning, and time management skills
Ability to grasp new concepts and apply them
Ability to understand complex workflows and follow procedures
High School Diploma or GED required
College degree or some college preferred
Additional certification/training via CMS MedLearn, HFMA, AHAM, or AMA preferred

Benefits

Comp & perks

Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage
HSA with employer contributions
Flexible spending accounts for health care and dependent care accounts
Wellness platform with premium incentives
Employee assistance support
Voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance
Robust and flexible paid time off offerings
Company paid holidays
401(k) plan with discretionary employer match opportunities
Professional development opportunities
Company issued equipment