RCM Associate Manager - Quality

Allscripts — Pune, India

Job Description Summary : The Associate Manager – Quality, RCM is responsible for leading, monitoring, and continuously improving the quality assurance function within Revenue Cycle Management operations. This is a people-plus-process leadership role that combines hands-on audit governance with team management, client engagement, and strategic quality improvement. You will serve as the primary quality ambassador between operations, clients, and senior leadership — ensuring compliance with payer guidelines, HIPAA regulations, and internal SOPs while driving performance excellence across all QA analysts. You will own the quality scorecard, shape audit strategy, and build a culture of accountability and continuous learning within your team. KEY RESPONSIBILITIES Quality Oversight & Governance Own and enforce quality benchmarks across all RCM functions — coding, billing, AR follow-up, denial management, and payment posting Establish and maintain quality control checkpoints at each stage of the revenue cycle workflow Ensure 100% alignment with CMS guidelines, payer-specific rules, client contractual obligations, and HIPAA/PHI regulations Define and manage the monthly/quarterly audit plan, sampling strategies, and QA frameworks Audit Management & Root Cause Analysis Oversee daily, weekly, and monthly transaction audits and calibration sessions across all RCM verticals Drive root cause analysis (RCA) for all identified errors and ensure actionable corrective plans are documented and tracked Maintain comprehensive audit trails and error logs for regulatory and client review Identify recurring defect patterns and escalate critical findings to operations leadership with data-backed reports Team Leadership & People Management Lead, mentor, coach, and manage a team of 20+ QA analysts, ensuring equitable workload distribution and professional growth Facilitate regular team huddles, one-on-one feedback sessions, and calibration meetings to promote a quality-first culture Ident

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