Quality Assurance Auditor

Responsibilities Responsible for evaluating the accuracy, completeness, and compliance of Patient Access workflows Conduct comprehensive audits, including random reviews, targeted audits based on denial trends, and ongoing monitoring Ensure consistent adherence to organizational policies, payer requirements, and documentation standards Partner with Patient Access leadership, Denials Specialists, and the Training and Education team to identify performance gaps Validate staff competency and provide actionable feedback that drives continuous improvement Requirements Bachelor’s degree in Business Administration, Healthcare Administration, Health Information Management, or related field required. Minimum 3 years of patient access or healthcare revenue cycle experience required. Experience in registration, insurance verification, authorization workflows, or denial prevention strongly preferred. Prior auditing, quality review, or training/education support experience a plus. Certified Healthcare Access Associate (CHAA), Certified Healthcare Access Manager (CHAM), or Certified Revenue Cycle Specialist (CRCS) required or obtained within 1 year of hire. Core Competencies Demonstrates expertise in Patient Access workflows, including auditing, compliance, and performance improvement. Proficient in healthcare revenue cycle processes and capable of providing actionable feedback to enhance staff competency. Hard Skills Auditing Quality Review Denial Prevention Registration Workflows Authorization Workflows Soft Skills Actionable Feedback Collaboration Certifications & Qualifications Certified Healthcare Access Associate (CHAA) Certified Healthcare Access Manager (CHAM) Certified Revenue Cycle Specialist (CRCS) Industry Keywords Patient Access Compliance Documentation Standards Payer Requirements Performance Gaps #J-18808-Ljbffr Jobtailor