Revenue Cycle Quality Assuurance Manager

Why MCR Health? A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve.

Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time" and to support our Mission to serve everyone.

Whether you provide direct patient care or in other areas of our Company, you can find a home here.

We invite you to be part of our company, where you can grow your career and serve with your heart.

In our time of Company growth, we are seeking a Revenue Cycle Quality Assurance Manager Work Location: Bradenton, FL As part of this role, you will: Develop, implement, and maintain a comprehensive quality assurance program for revenue cycle operations.

Conduct audits and quality reviews of registration, insurance verification, coding support functions, charge capture, billing, accounts receivable, payment posting, denials management, and collections processes.

Monitor compliance with federal and state regulations, payer requirements, HIPAA standards, and organizational policies.

Analyze quality metrics, identify trends, and prepare reports for leadership regarding performance indicators and audit findings.

Collaborate with Revenue Cycle leadership to develop corrective action plans and monitor progress toward quality improvement goals.

Identify process gaps, operational risks, and opportunities to improve revenue integrity and reimbursement outcomes.

Serve as a subject matter expert for revenue cycle, quality standards, and regulatory requirements.

Develop and deliver training and educational programs based on audit findings and process improvement opportunities.

Partner with operational leaders to establish performance benchmarks and quality metrics.

Monitor payer denials and audit outcomes to identify recurring issues and recommend solutions.

Assist with preparation for internal and external audits, regulatory reviews, and accreditation surveys.

Ensure proper documentation and maintenance of quality assurance records and reporting tools.

Support continuous improvement initiatives aimed at maximizing revenue capture, reducing denials, and improving patient financial experience.