Quality Assurance Auditor
Core
Conduct structured audits of Release of Information (ROI) requests to ensure accuracy, completeness, and proper medical record fulfillment while verifying data integrity and regulatory compliance.
Role type
Quality Assurance Auditor (Health Information Operations)
Builds
Accurate and compliant medical record release workflows for healthcare providers, health plans, and life sciences companies.
Domain
Healthcare / Health Information Management
Deliverable
client delivery
Required skills
ROI audit execution, HIPAA/HITECH compliance verification, workflow evaluation, discrepancy investigation, audit documentation, process improvement analysis, regulatory policy interpretation
Preferred skills
Health Information Management degree, Healthcare Administration background
Technologies
HealthSource
Responsibilities
Conduct structured audits of ROI requests, review pended and completed requests for data integrity, ensure compliance with HIPAA and state/federal regulations, evaluate end-to-end fulfillment workflows, document audit findings and corrective recommendations, identify and resolve routine discrepancies, analyze audit results for systemic issues, provide feedback to operational teams, maintain productivity targets, participate in calibration activities, stay current on ROI regulations and fee structures
Seniority
Mid-level, hands-on IC
