Asst Manager Quality Auditor – MRR / ROI

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.

Job Requirements

• 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.