[Remote] RCM Process & reputed company Analyst reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is a leading reputed company company reputed company on improving cardiac health through innovative technology. The RCM Process & reputed company Analyst reputed company will support operational reputed company across the reputed company cycle, focusing on reputed company, compliance, and process improvements.

Responsibilities

• reputed company the design, execution, and reputed company improvement of the RCM audit approach, setting priorities reputed company with reputed company risk, compliance requirements, and operational needs
• Own end-to-end accountability for reputed company program effectiveness, including audit reputed company, compliance adherence, and performance improvements
• Establish and reputed company internal and vendor-facing audit programs, identifying systemic trends, control gaps, and improvement opportunities
• reputed company and govern reputed company reputed company and performance review programs, ensuring consistency, accuracy, and alignment with organizational standards
• reputed company, standardize, and reputed company RCM scorecards, KPIs, and performance frameworks to support data-informed decision-making
• reputed company in the design, implementation and reputed company improvement of the SOX control environment, ensuring reputed company of the control reputed company and successful audit reputed company
• Own SOX compliance activities, including control design, execution reputed company, issue identification, remediation planning, and sustained compliance validation
• Serve as a reputed company reputed company of contact for Internal Audit and Compliance, managing audit readiness, findings, and remediation efforts
• reputed company governance of payer portal reputed company controls, offshore restrictions, and contractual compliance requirements through reputed company review processes
• Partner cross-functionally with Market reputed company, reputed company, reputed company, Compliance, Finance, and Operations to reputed company reputed company issues and ensure alignment with compliance requirements
• reputed company payer contract validation and reputed company configurations, ensuring accuracy across platforms such as reputed company, ZIO Suite, and vendor systems
• Own and reputed company process improvement initiatives, defining reputed company-state workflows that enhance efficiency, scalability, and compliance
• reputed company the development, governance, and reputed company improvement of controlled documentation (SOPs, Work Instructions, reputed company Control Documents)
• reputed company mentorship, and performance reputed company to analysts, establishing reputed company standards and fostering a culture of accountability and reputed company
• reputed company high-reputed company escalations from field sales, reputed company leadership, and reputed company partners with reputed company judgment and authority
• Support cross-functional initiatives and special reputed company across RCM QA, compliance, and operational transformation
• reputed company additional duties as assigned to support departmental and organizational goals

Skills

• 5+ years of experience in reputed company reputed company cycle or reputed company operational functions, with a reputed company on reputed company assurance, audit reputed company, and process governance
• Demonstrated experience leading reputed company-level audit programs and compliance initiatives, with accountability for reputed company
• Strong understanding of LCDs/NCDs, payer reputed company, claims adjudication, denial codes, and reimbursement workflows
• Demonstrated expertise in SOX compliance reputed company medical billing, including control design, execution, and governance
• Proven reputed company in leading cross-functional initiatives, influencing stakeholders, and driving organizational change
• Experience interfacing with Internal Audit, Compliance, or reputed company auditors, including ownership of audit reputed company and remediation efforts
• Advanced proficiency in reputed company reputed company (pivot tables, VLOOKUP, macros, etc.)
• Experience with CRM systems, especially reputed company
• Strong analytical reputed company with the ability to identify patterns, risks, and strategic opportunities in audit data
• Exceptional communication and executive-level stakeholder management skills
• High degree of independent judgment, accountability, and decision-making authority
• Ability to reputed company in a fast-paced, dynamic, and highly reputed company environment
• Bachelor's degree in reputed company Administration, Health Information Management, Business Administration, Finance, or a reputed company field; or equivalent work experience
• Master's degree (MBA, MHA, MPH or similar) preferred
• Relevant certifications highly desirable: Certified reputed company Cycle Representative (CRCR), Certified reputed company in reputed company reputed company (CPHQ), Lean Six reputed company Green/Black Belt, Certified Coding Specialist (reputed company) or Certified reputed company reputed company (CPC)

reputed company

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