Rcm Quality Assurance Analyst

About the Role
Al Salama Hospital is looking for an RCM Quality Assurance Analyst to strengthen revenue integrity and support evidence-based decisions across the revenue cycle. Reporting to the Director, RCM, you’ll turn operational and financial data into reliable reports, dashboards and audit findings. Your work will cover billing, claims, inpatient and outpatient approvals, government accounts, denials and reconciliation, contracts and coding. You’ll work closely with the RCM team, Finance, Quality, Internal Audit and ICT to find gaps and recommend measurable improvements.

Responsibilities

• Extract, consolidate and validate RCM data from hospital systems and produce recurring operational and reconciliation reports
• Look into data discrepancies with the responsible departments, and keep data dictionaries and version-controlled reporting records
• Draft and maintain RCM quality assurance procedures, audit checklists and monitoring tools
• Carry out sample-based quality checks on billing, claims, approvals, denials, contract billing accuracy and coding data
• Document audit findings, evidence, risk levels and recommended corrective actions, and track whether they are closed
• Support compliance reviews and accreditation evidence for CHI, MOH, CBAHI and JCI, and assess NPHIES-related data quality
• Build and maintain RCM KPI dashboards, including denials and rejections by payer and department, and productivity trends
• Analyze turnaround times, payer behavior and variance trends to find risks and performance gaps
• Prepare and present monthly management review reports with clear findings and recommendations
• Find denial drivers, recurring errors and potential revenue leakage through root-cause analysis
• Recommend workflow, control and automation improvements, and coordinate system-rule testing with ICT
• Measure results before and after improvement initiatives, and guide stakeholders on using dashboards correctly