Healthcare Quality Assurance Auditor

Job Summary:

We are seeking a meticulous and experienced Quality Assurance (QA) Auditor to join our team. The QA Auditor is responsible for ensuring the integrity and accuracy of patient information within Health Information Technology (HIT) systems. The QA Auditor will navigate various health plan Electronic Medical Records (EMRs) to maintain high standards of quality assurance, and ensure compliance with industry standards and regulations.

Duties/Responsibilities:

• Identify, assess, correct, and monitor critical aspects of patient data while adhering to strict guidelines set by the Department of Health Care Services (DHCS) and Health Care Providers.
• Understand and apply practices and procedures established by DHCS and Providers.
• Navigate and work proficiently with multiple health plan EMR systems.
• Collaborate with various departments to ensure quality standards are met throughout the production process.
• Monitor and identify key errors within patient information.
• Prepare detailed audit reports and present findings to management.
• Comply with organizational guidelines and health care laws and regulations, including HIPAA.
• Perform other duties as assigned.

Education and Experience:

• High school diploma or GED required, Bachelor’s in a related field preferred.
• Minimum of 1 year of experience in quality assurance auditing or a healthcare role required.

Required Skills/Abilities:

• Proficiency in Microsoft Office Suite and quality management software.
• Effective and professional communication skills, both written and verbal.
• Excellent analytical and problem-solving skills.
• Strong attention to detail and organizational skills.
• Bilingual in Spanish preferred.

Work Environment:

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.