Pharmacy Quality & Audit Coordinator

Medix; Plano (TX); On-site; USD 33,000 - 37,000; Full time

Benefits offered by this job

Paid Sick Leave

Health Benefits

401k

Short Term Disability Insurance

Term Life Insurance

Job summary

Medix is seeking a QA Coordinator to ensure patient files are complete, accurate, and audit-ready by reviewing documentation, authorizations, and clinical notes. This role acts as the final defense against denials and supports specialty pharmacy and infusion workflows.

Onsite in Plano, TX, the position requires attention to detail, ability to work across multiple systems, and collaboration with operations, insurance, and QC teams to maintain compliant patient records.

Qualifications

• Experience in specialty pharmacy, infusion pharmacy, healthcare operations, or medical insurance workflows preferred.
• Knowledge of prior authorizations, benefits verification, medical benefits, or reimbursement processes strongly preferred.
• Strong critical thinking and problem-solving skills.
• Ability to work independently in a fast-paced, detail-oriented environment.
• Comfortable reviewing large amounts of documentation across multiple systems.
• Strong organizational and communication skills.
• High attention to detail and auditing mindset.

Responsibilities

• Review completed patient work orders for accuracy and completeness.
• Audit documentation to ensure files are compliant and audit-ready.
• Verify authorizations, approvals, therapy changes, and operational documentation align correctly.
• Review provider and pharmacist progress notes to ensure therapy interventions are properly supported.
• Investigate discrepancies across multiple systems and portals.
• Validate approved services and assist with accurate patient co-pay quoting.
• Identify missing documentation, inconsistencies, or operational gaps that could lead to denials.
• Collaborate cross-functionally with operational, insurance, pharmacy, and QC teams.
• Maintain strong attention to detail while managing high-volume documentation review workflows.

Skills

Specialty pharmacy

Infusion pharmacy

Healthcare operations

Medical insurance workflows

Prior authorizations

Benefits verification

Critical thinking

Independent work

Documentation review

Tools

Health portals

Job description

Medix is seeking a QA Coordinator to ensure patient files are complete, accurate, and audit-ready by reviewing documentation, authorizations, and clinical notes. This role acts as the final defense against denials and supports specialty pharmacy and infusion workflows.

Onsite in Plano, TX, the position requires attention to detail, ability to work across multiple systems, and collaboration with operations, insurance, and QC teams to maintain compliant patient records.