RCM Audit & Quality Specialist

Job description

RCM Audit and Quality Specialist Job Opportunity New Jeddah Clinic Hospital is looking for a qualified, detail-oriented specialist to join the Revenue Cycle Management (RCM) department. Quality engineering technicians work with quality engineers or managers to analyse and solve quality problems and improve productivity. They examine machines for imperfections and inspect products to make sure they meet the standards. They also provide personnel with training in inspection techniques and prepare inspection plans

Requirements

• Bachelor's degree in medicine, pharmacy or related field
• At least 3 years of relevant experience in RCM audit, healthcare billing, claims quality, or revenue integrity
• Knowledge of medical insurance policies, payer contracts, billing rules, and NPHIES requirements
• Experience in medical claims auditing, billing accuracy, documentation completeness, contractual pricing, and compliance with approved workflows
• Ability to identify billing errors, process gaps, revenue leakage, and recurring operational issues
• Experience in preparing audit reports, documenting results, and following up on corrective actions
• Proficiency in Microsoft Excel and reporting tools
• Proficiency in English
• Strong analytical skills, integrity, and attention to detail
• Ensure compliance with company regulations
• Quality standards
• Quality assurance methodologies

Skills