Job Location: Noida, India

Job Description

Oversee the end-to-end quality assurance processes for Medical Record Retrieval (MRR) and Release of Information (ROI) within the RCM lifecycle.
Monitor compliance with federal and state regulations including HIPAA, HITECH, and payer-specific guidelines.
Develop and implement QA standards and SOPs specific to MRR and ROI processes.
Conduct audits, quality checks, and root cause analyses on records processed to identify and resolve documentation issues.
Collaborate with MRR, HIM, coding, and RCM teams to improve data integrity and claims accuracy.
Identify trends in documentation errors, delays, or payer denials and lead corrective action plans.
Provide training and continuous education to staff on best practices in MRR & ROI processes and regulatory requirements.
Ensure SLAs (turnaround time, quality, compliance) are met consistently for record retrieval and release.
Support client audits, payer audits, and internal quality assessments.
Track and report on key performance indicators (KPIs) such as error rates, TAT (turnaround time), compliance scores, and client satisfaction.

Any graduate with minimum 8-10 years of experience in MRR / ROI operations / quality, HIM, or RCM in a healthcare setting.
At least 2–3 years of experience in a quality management / supervisory role.
Experience in handling a team of QA’s, TLs & Ams with a span size of at least 100.
Knowledge of HIPAA, state release of information laws, and healthcare documentation standards.
Experience with ROI software and Electronic Health Record (EHR) systems (e.g., Epic, Cerner, or similar).
Strong analytical, organizational, and communication skills.
Detail-oriented with the ability to manage multiple audits simultaneously.
Certification in RHIT, RHIA, or CHPS is a plus.