Associate Principal - Quality Assurance jobs in United States
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MPOWERHealth · 4 hours ago

Associate Principal - Quality Assurance

MPOWERHealth is a company focused on revenue cycle processes, and they are seeking an Associate Principal of Quality Assurance. This role involves monitoring revenue cycle areas, performing audits, and collaborating on process documentation to ensure quality outcomes and efficient processes.

Health CareInformation TechnologyMedicalMedical Device

Responsibilities

Perform individual audits across all RCM Functions, directly and in collaboration with RCM Leadership
Develop and revise audit templates within USMON
Monitor audit results and report to leaders, providing data to drive staff development
Identify areas for improvement within audits or process documentation
Review RCM activities to ensure the documented processes are being followed and meet current business needs
Provide recurring summaries and reporting on QA to RCM Leadership
Review existing documents related to processes and policies within RCM, provide input and recommend improvements for existing documentation
Identify gaps in process documentation and collaborate with leadership to draft, revise and implement needed documents, including Standard Operating Procedures, Workflows, and Policies
Submit recurring progress reports on quality outcomes, noting impacts and areas for improvement
Inform Company executives and RCM Leadership about opportunities and suggest process enhancements
Encourage team engagement, recognize employees, and support overcoming challenges
Represent the RCM function in cross-functional projects, contributing to enterprise-wide business planning, systems implementation, and change management initiatives
Offer guidance to team members and peers to foster a culture of learning, accountability, and excellence
Identify and implement opportunities to enhance operational efficiency, minimize waste, and improve financial performance
Perform other duties as identified and assigned

Qualification

Revenue Cycle ManagementAnalytical skillsCPTICD-10 knowledgeHealthcare billing regulationsMS Office proficiencyPrioritization skillsHIPAACommunication skills

Required

Bachelor's degree or equivalent experience required
5+ years in Revenue Cycle Management across core functions
2+ years in a role supporting leadership or managing key operational responsibilities
Strong analytical and reporting skills with a focus on results
Knowledge of CPT, ICD-10, and healthcare billing regulations including Medicare
Proficiency with MS Office tools, especially Excel
Strong verbal and written communication skills
Ability to prioritize in a fast-paced, deadline-driven environment
Knowledge of HIPAA and healthcare regulatory requirements
Consistent, dependable attendance
Some travel may be required
Professional demeanor and ability to work independently
Primarily sedentary office work with use of computers and phones
Occasional light lifting (up to 20 lbs), standing, and walking
Hybrid work environment based on organizational needs

Company

MPOWERHealth

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MPOWERHealth is a virtual health system, with end-to-end solutions that close the gap between cost and quality in musculoskeletal care.

Funding

Current Stage
Late Stage

Leadership Team

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Scott LaRoque
Chief Executive Officer & Founder
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John Baldwin
VP, Chief Information Officer
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Company data provided by crunchbase