RCM Process & Quality Analyst Lead

iRhythm Technologies, Inc.

RCM Process & Quality Analyst Lead at iRhythm leading audit and compliance initiatives to improve cardiac health solutions. Engaging in cross-functional collaborations and process improvements across revenue cycle operations.

Posted 7/10/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $115,000 - $149,000 per yearWebsite

About the role

Key responsibilities & impact

Lead the design, execution, and continuous improvement of the RCM audit approach
Establish and oversee internal and vendor-facing audit programs
Lead and govern call quality and performance review programs
Develop, standardize, and oversee RCM scorecards, KPIs, and performance frameworks
Own SOX compliance activities, including control design, execution oversight
Serve as a primary point of contact for Internal Audit and Compliance
Lead governance of payer portal access controls, offshore restrictions
Oversee payer contract validation and system configurations
Lead process improvement initiatives, defining future-state workflows

Requirements

What you’ll need

5 + years of experience in healthcare revenue cycle or related operational functions
Strong understanding of LCDs/NCDs, payer contracts, claims adjudication, denial codes, and reimbursement workflows
Demonstrated expertise in SOX compliance within medical billing, including control design, execution, and governance
Proven success in leading cross-functional initiatives, influencing stakeholders, and driving organizational change
Experience interfacing with Internal Audit, Compliance, or external auditors, including ownership of audit outcomes and remediation efforts
Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUP, macros, etc.)
Experience with CRM systems, especially Salesforce.
Bachelor's degree in Healthcare Administration, Health Information Management, Business Administration, Finance, or a related field; or equivalent work experience.

Benefits

Comp & perks

Health insurance
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Claims AdjudicationDenial CodesReimbursement WorkflowsControl DesignExecution OversightKPI DevelopmentProcess ImprovementPayer Contract ValidationWorkflow DefinitionInternal Audit Interaction

Soft Skills

LeadershipOrganizational Change ManagementCross-Functional Collaboration