RCM Quality Assurance & Compliance Specialist

About AdvantixxRCM AdvantixxRCM is a healthcare revenue-cycle management company supporting medical practices and healthcare organizations with accurate, compliant, and service-focused billing operations. Our culture values ethical billing, patient-conscious service, accuracy, ownership, respectful collaboration, continuous improvement, privacy, security, and speaking up. Team members protect confidential patient and client information, use only authorized systems, and follow company, client, payer, HIPAA, and applicable legal requirements. AdvantixxRCM is an equal opportunity employer. RCM Quality Assurance & Compliance Specialist This role audits revenue-cycle work, identifies operational and compliance risk, and helps teams prevent errors before they affect patients, clients, payers, or collections. Responsibilities Audit claims, account notes, coding-related workflows, eligibility, authorization, payment posting, A/R, denials, and client reports against approved standards. Track error rates, root causes, corrective actions, and repeat findings; maintain defensible audit documentation. Review adherence to payer, client, HIPAA, privacy, security, minimum-necessary, ethical-billing, and company requirements. Escalate suspected overbilling, underbilling, false documentation, improper access, conflicts, retaliation, privacy incidents, or other misconduct immediately. Support training, SOP improvements, calibration, quality dashboards, and corrective-action follow-up. Prese