Lead, RCM Process Quality Analyst

Career-defining. Life-changing.

At iRhythm, you'll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what's possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career

About This Role:

At iRhythm, we are redefining how cardiac care is delivered through innovative technology and data-driven insights. Our mission is to improve patient outcomes and transform the healthcare experience. We're looking for an experienced Lead, RCM Process & Quality Analyst to join our team and help with the operational and strategic performance of our end-to-end revenue cycle (order to cash).

TheLead, RCM Process & Quality Analystprovides strategic oversight and leadership in quality assurance, process auditing, and operational compliance across all Revenue Cycle Management (RCM) functions. This role ensures that internal processes align with organizational standards, SOX controls, payer requirements, and service-level agreements. The Senior Analyst also mentors junior team members, collaborates with cross-functional stakeholders, and drives continuous improvement initiatives to enhance operational efficiency and compliance.

Our work environment is fast-paced and collaborative, driven by a passion for delivering innovations that improve the quality of health care and patient experience. We are looking for like-minded individuals to join our team today!

What You Will Be Doing

• Lead internal and vendor-facing audits across RCM workflows, identifying trends and improvement opportunities.

• Oversee call quality review programs to ensure adherence to scripts, professionalism, and accuracy.

• Design, manage, and distribute RCM scorecards and performance metrics.

• Monitor and manage payer portal access controls and ensure compliance through periodic reviews.

• Track offshore payer restrictions and ensure contractual adherence.

• Lead payer audit responses, coordinating with internal teams to compile necessary documentation.

• Collaborate with Market Access, Quality, Legal, and Compliance teams on audit escalations.

• Validate payer contract rate schedules and system configurations in platforms such as Salesforce, ZIO Suite, and vendor systems.

• Execute and oversee SOX controls related to RCM functions.

• Maintain and update controlled documents (SOPs, Work Instructions, Quality Control Documents) in partnership with RCM leadership.

• Resolve escalations from field sales, commercial leadership, and vendor partners.

• Mentor junior analysts, review audit outputs, and provide constructive feedback.

• Contribute to special projects and strategic initiatives aimed at enhancing RCM operations.

• Perform additional duties as assigned to support departmental goals.

What We Need to See

• Minimum 5 years of experience in healthcare revenue cycle, with a focus on quality assurance and process auditing.

• Strong understanding of LCDs/NCDs, payer contracts, claims adjudication, denial codes, and reimbursement workflows.

• Demonstrated expertise in SOX compliance within medical billing, with the ability to develop, execute, and present comprehensive audit reports that support regulatory adherence and operational transparency.

• Demonstrated success in leading cross-functional projects and system/process enhancements.

Skills:

• Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUP, macros, etc.).

• Experience with CRM systems, especially Salesforce.

• Strong analytical mindset with the ability to identify patterns and trends in audit data.

• Excellent communication and stakeholder management skills.

• Detail-oriented with a high level of accountability and urgency.

• Ability to thrive in a fast-paced, collaborative environment.

Education:

• Bachelor's degree in Healthcare Administration, Health Information Management, Business Administration, Finance, or a related field.

• Master's degree (MBA, MHA, MPH) preferred.

• Relevant certifications highly desirable:

  • Certified Revenue Cycle Representative (CRCR)

  • Certified Professional in Healthcare Quality (CPHQ)

  • Lean Six Sigma Green/Black Belt

  • Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)

Ways to Stand Out

• Ability to navigate complex payer landscapes networks.

What's in it for you:

This is a full-time position with competitive salary package and excellent benefits including medical, dental and vision insurance, paid holidays and paid time off.

iRhythm also provides additional benefits including 401K (w/ company match), an Employee Stock Purchase Plan, annual organizational/cultural committee events and more!

FLSA Status: Exempt

As a part of our core values, we ensure a diverse and inclusive workforce. We welcome and celebrate people of all backgrounds, experiences, skills and perspectives.iRhythm Technologies, Inc. is an Equal Opportunity Employer (M/F/V/D). Pursuant to San Francisco Fair Chance Ordinance, we will consider for employment all qualified applicants with arrest and conviction records.

Make iRhythm your path forward.

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As a part of our core values, we ensure an inclusive workforce. We welcome and celebrate people of all backgrounds, experiences, skills, and perspectives. iRhythm Technologies, Inc. is an Equal Opportunity Employer. We will consider for employment all qualified applicants with arrest and conviction records in accordance with all applicable laws.

iRhythm provides reasonable accommodations for qualified individuals with disabilities in job application procedures, including those who may have any difficulty using our online system. If you need such an accommodation, you may contact us at taops@irhythmtech.com

About iRhythm Technologies
iRhythm is a leading digital healthcare company that creates trusted solutions that detect, predict, and prevent disease. Combining wearable biosensors and cloud-based data analytics with powerful proprietary algorithms, iRhythm distills data from millions of heartbeats into clinically actionable information. Through a relentless focus on patient care, iRhythm's vision is to deliver better data, better insights, and better health for all.

Make iRhythm your path forward. Zio, the heart monitor that changed the game.

There have been instances where individuals not associated with iRhythm have impersonated iRhythm employees pretending to be involved in the iRhythm recruiting process, or created postings for positions that do not exist. Please note that all open positions will always be shown here on the iRhythm Careers page, and all communications regarding the application, interview and hiring process will come from a @irhythmtech.com email address. Please check any communications to be sure they come directly from @irhythmtech.com email address. If you believe you have been the victim of an imposter or want to confirm that the person you are communicating with is legitimate, please contact taops@irhythmtech.com. Written offers of employment will be extended in a formal offer letter from an @irhythmtech.com email address ONLY.

For more information, see https://www.ftc.gov/business-guidance/blog/2023/01/taking-ploy-out-employment-scams and https://www.ic3.gov/Media/Y2020/PSA200121