Quality Director

Position: QUALITY DIRECTOR

Location: Ortigas/Eastwood

Work Set Up: Onsite

QUALIFICATIONS:

QUALITY DIRECTOR
- Has Background in Revenue Cyle Management (RCM)

- With HEALTHCARE, PRIOR AUTH, REVERIFICATION

- Has 10 YEARS EXPERIENCE

- Can Start ASAP/Immediately



A Quality Director for Revenue Cycle Management (RCM) ensures adherence to industry standards, regulates compliance and enhances patient care. Key responsibilities include:



Key Responsibilities

1. Developing and enforcing quality standards: Establishing policies and procedures.
2. Auditing and compliance: Ensuring adherence to regulations (HIPAA, OIG).
3. Risk management: Identifying and mitigating revenue cycle risks.
4. Process improvement: Optimizing workflows and efficiency.
5. Training and education: Staff development and guidance.
6. Metrics and reporting: Monitoring key performance indicators (KPIs).
7. Patient satisfaction: Ensuring excellent patient experience.


Required Skills

1. Healthcare industry expertise
2. RCM knowledge
3. Leadership and communication
4. Analytical and problem-solving
5. Project management
6. Regulatory compliance (HIPAA, OIG)


Certifications

1. CMC (Certified Medical Coder)
2. CPC (Certified Professional Coder)
3. CPHQ (Certified Professional in Healthcare Quality)
4. CQM (Certified Quality Manager)