RCM Auditor (Dental Revenue Cycle Analytics)

Location: Remote (Philippines or Sri Lanka preferred)
Employment Type: Full-Time
Industry: Dental Revenue Cycle Management
Work Schedule: Overlap with U.S. business hours preferred

About the Role

We are seeking a highly analytical RCM Auditor to support our Revenue Cycle Management team by producing operational reporting and data analysis across a multi-location dental organization.

This role is responsible for analyzing billing and claims data to identify revenue cycle trends, performance gaps, and operational opportunities across 60 dental offices. The insights produced by this role will directly support leadership conversations with underperforming offices and help guide revenue cycle improvements.

Unlike traditional billing roles, this position will not perform claims submission, payment posting, or AR follow-up. Instead, the focus is on data analysis, reporting development, and trend identification using data already available within our billing systems.

The RCM Auditor will work closely with the Director of Revenue Cycle Management, who conducts monthly performance calls with offices based on the reports generated by this role.

Candidates with experience in dental billing systems and revenue cycle reporting will be best positioned to succeed.

Key Responsibilities

Revenue Cycle Reporting & Analytics

Prepare recurring RCM reports analyzing billing performance across 60 dental office locations
Analyze revenue cycle data to identify trends, operational gaps, and improvement opportunities
Develop and maintain reports used by leadership to evaluate office-level performance
Ensure reporting accuracy and consistency across multiple datasets

KPI Analysis

Generate and analyze reports covering key RCM performance indicators, including:

Denial rates and top denial reasons
Adjustment rates and adjustment types/codes
Insurance Accounts Receivable > 90 days
Patient Accounts Receivable
Credit volumes
Unbilled claims volumes
Month-over-month changes across revenue cycle KPIs

Operational Insight & Trend Identification

Analyze claims data to identify patterns driving denials, adjustments, or revenue leakage
Provide insights that help leadership address performance issues at the office level
Support root-cause analysis to understand billing trends across locations

Leadership Reporting Support

Prepare reports used by the Director of RCM for monthly performance reviews with underperforming offices
Deliver clear summaries of trends and operational findings
Maintain standardized reporting formats and dashboards

Data Quality & Process Support

Validate data accuracy across reporting sources
Support improvements to reporting workflows as the organization scales
Document reporting methodologies and KPI definitions

Important Clarification About the Role

This is not a billing operations role.

The RCM Auditor will not:

Submit claims
Post payments
Work AR follow-ups
Perform denial appeals

Instead, the role focuses on analyzing claims and billing data to generate operational reporting and insights.

Experience with dental billing systems is important because it enables the candidate to interpret claims data accurately and identify meaningful trends.

Required Qualifications

Experience

3+ years of experience in dental revenue cycle management, billing analytics, or RCM auditing
Experience working with multi-location healthcare or dental organizations
Experience analyzing billing data and revenue cycle KPIs

Technical Skills

Strong analytical and reporting skills
Advanced proficiency in Excel or data reporting tools
Ability to analyze large billing datasets and identify trends
Strong attention to detail and accuracy

Software Experience

Experience with dental RCM platforms such as:

Dentrix Enterprise
Denticon
Dental Exchange

Experience with reporting tools or financial dashboards is a plus.

Soft Skills

Highly analytical and detail-oriented
Strong organizational skills
Ability to present data insights clearly
Comfortable working independently in a remote environment

Preferred Qualifications

Experience supporting large dental service organizations (DSOs)
Experience working with high-volume claims environments
Exposure to revenue cycle performance reporting
Background in data analytics within healthcare billing environments

Operational Context

Organization supports 60 dental offices
Processes 40,000–50,000 claims per month
Current structure includes:
- 23 onshore team members
- 4 external vendor groups

The RCM Auditor will serve as a data and reporting specialist supporting revenue cycle leadership.

RCM Auditor - Dental Billing - 18443