RESPONSIBILITIES

• Lead and drive overall quality strategy across end-to-end RCM functions
• Define and implement quality frameworks, SOPs, and audit mechanisms aligned with client and regulatory standards
• Ensure compliance with CMS, HIPAA, provider guidelines, and industry regulations
• Establish strong governance models, KPIs, and quality scorecards for performance tracking
• Drive continuous quality improvement initiatives using RCA, Six Sigma, and Lean methodologies
• Identify trends in denials, errors, and audit failures and implement corrective actions
• Manage internal & external audits, ensuring audit readiness and compliance adherence
• Partner with operations teams to reduce rework, improve accuracy, and enhance first-pass yield
• Lead client quality reviews (QBRs) and act as the point of contact for quality-related escalations
• Ensure client SLA adherence, serv...