Quality Control Coordinator

Quality Control Coordinator

Pay Range: $25.88–$27.83/hour (commensurate with experience)

This role is responsible for conducting quality audits, identifying trends, supporting staff and vendor training, and ensuring adherence to service level agreements, compliance standards, and internal quality expectations.

The ideal candidate is analytical, organized, proactive, and comfortable working cross-functionally in a fast-paced environment.

• Perform quality review audits for offshore vendors and applicable onshore staff across Revenue Cycle Operations functions including Eligibility & Benefits, Authorization Management, Patient Accounts, and Correspondence.
• Monitor audit findings to identify trends, process gaps, and opportunities for operational improvement.
• Coordinate and conduct training sessions for RCO staff and vendors; maintain accurate and up-to-date training documentation and materials.
• Perform payer overlap reviews and ensure applicable _BO work queues are maintained appropriately.
• Lead ATA/RCA meetings with vendors in response to audit findings and quality concerns.
• Ensure compliance with all service level agreements, contractual obligations, and company quality standards.
• Maintain working knowledge of HIPAA, OSHA, Risk Management, and applicable compliance regulations.
• Stay informed on reimbursement laws, payer regulations, and industry changes impacting Revenue Cycle Operations.
• Attend company meetings and complete required trainings as assigned.
• Maintain confidentiality in accordance with company policies and all applicable laws and regulations.
• Demonstrate behaviors aligned with Professional Physical Therapy’s mission, values, and commitment to teamwork and collaboration.
• Perform additional duties and special projects as assigned by the Vice President of Revenue Cycle Operations.

• Bachelor’s degree preferred.
• Minimum of 1 year of Revenue Cycle experience required.
• Strong understanding of revenue cycle operations and workflows.
• Demonstrated ability to consistently meet or exceed productivity and quality goals.
• Experience identifying operational trends and resolving workflow or process issues.
• Proficiency with Raintree and Microsoft Office applications.
• Excellent analytical, organizational, and problem-solving skills.
• Strong written and verbal communication skills.
• Ability to manage multiple priorities and work independently with strong follow-through.
• Demonstrates professionalism, adaptability, and a commitment to fostering a respectful and inclusive work environment.

• Position can be hybrid or remote
• Prolonged periods of sitting
• Occasional walking, including stairs
• May require evening or weekend work based on business needs

Benefits

Rest, Reset & Recharge: 3 weeks PTO; sick time in accordance with state and local requirements; plus 6 major holidays to unplug and focus on what matters most.

Play More, Pay Less: Exclusive savings through PlumBenefits and LifeMart on travel, hotels, theme parks, sporting events, shows, electronics, food delivery, and more.

Equal Opportunity Employer, including Disabled/Veterans.