Quality Assurance Auditor

What We're Looking For: We are seeking a Quality Assurance Auditor to ensure operational effectiveness, regulatory compliance, and continuous process improvement across medical records workflows. This role is critical to safeguarding patient information, ensuring adherence to HIPAA and regulatory standards, and supporting process enhancements that improve accuracy, efficiency, and compliance.

What You Will Do: Work remotely from anywhere in the United States

• Audit & Quality Control:




• Review the accuracy of pended requests to confirm medical records in HealthSource are captured correctly.
  
  
• Perform quality checks to ensure compliance with HIPAA, state/federal laws, client-specific requirements, and invoicing standards.
  
  
• Identify workflow issues, error trends, and delays; recommend corrective actions to leadership.
  
  
• Conduct audits of request and fulfillment processes to verify adherence to Standard Operating Procedures (SOPs).
  
  
• Maintain thorough documentation of audit results, findings, and corrective actions.
  
  
• Stay up to date on laws, fee structures, and facility policies governing the release of information.

• Process Improvement:




• Recommend and assist with process enhancements to increase efficiency and accuracy.
  
  
• Collaborate with training and operations teams to address recurring issues and contribute to updated training materials or job aids.
  
  




• Compliance Monitoring:




• Ensure all requests meet HIPAA, HITECH, and other applicable regulatory standards for handling and releasing Protected Health Information (PHI).
  
  
• Monitor adherence to client-specific service-level agreements (SLAs) and protocols.
  
  




• Training & Support:




• Provide feedback to team members based on audit outcomes.
  
  
• Support onboarding and ongoing QA training for new hires focused on documentation accuracy and compliance.
  
  
• Participate in required training sessions, staff meetings, and professional development activities.
• Participate in monthly interrater reliability training with the Quality Assurance Audit Manager and team.

What a Typical Day Looks Like In this role, you can expect to:

• Collaborate with the quality team and cross-functional partners in operations, compliance, training, and data.
  
  
• Conduct audits, capture results, and analyze trends.
  
  
• Report findings to the Quality Assurance Audit Manager and recommend improvements.
  
  
• Provide feedback and support to operational teams to ensure quality and compliance goals are met.

What You Need to Succeed:

• Experience: Minimum 5 years in Release of Information (ROI) or health information operations (Datavant experience strongly preferred).
  
  
• Auditing Skills: 1+ years in quality assurance or auditing with proven ability to evaluate processes, identify gaps, and recommend solutions.
  
  
• Education: High school diploma required; Associate's or Bachelor's degree in Health Information Management, Healthcare Administration, or related field strongly preferred.
  
  
• Knowledge: In-depth understanding of HIPAA, PHI handling standards, and medical record confidentiality.
  
  
• Technical Skills: Proficiency in electronic health record (EHR) systems, request tracking tools, and Microsoft Office.
  
  
• Soft Skills: Strong attention to detail, excellent communication, organizational skills, and the ability to problem-solve in a fast-paced environment.
  
  
• Professionalism: Maintains confidentiality, strong rapport with colleagues, and forward-thinking approach to challenges.
  
  

Analytical Skills: Ability to analyze data and deliver actionable insights.