Revenue Cycle Quality Assuurance Manager

Brief Description 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. Requirements Bachelor’s degree in healthcare administration, Business Administration, Finance, Accounting, or a related field required. Master's degree preferred. Minimum of five (5) years of progressive revenue cycle experience in a healthcare environment. Minimum of three (3) years of leadership or supervisory experience preferred. Experience with revenue cycle auditing, quality assurance, compliance monitoring, and process improvement initiatives required. Experience with physician practice, ambulatory care, FQHC, or multi-specialty healthcare operations preferred. Summary The Revenue Cycle Quality Assurance Manager is responsible for developing, implementing, and overseeing quality assurance programs across all revenue cycle operations. This position ensures compliance with organizational policies, regulatory requirements, payer guidelines, and industry best practices. The manager collaborates with leadership teams to identify process improvement opportunities, reduce revenue leakage, enhance operational efficiency, and improve overall revenue cycle performance. MCR Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.