Quality Assurance Auditor

Baptistfirst; Montgomery (AL); On-site; USD 65,000 - 90,000; Full time

Job summary

Baptist Health Resource Center is seeking a Quality Assurance Auditor to evaluate registration workflows and ensure accuracy, completeness, and compliance across patient access processes. You will perform audits, monitor denial trends, and collaborate with Denials Specialists and the Training team to drive improvements.

The role emphasizes identifying performance gaps, validating staff competency, and delivering constructive feedback while maintaining confidentiality and adherence to policies.

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration, Health Information Management, or related field.
• Minimum 3 years of patient access or healthcare revenue cycle experience.
• Experience in registration, insurance verification, authorization workflows, or denial prevention preferred.

Responsibilities

• Evaluate the accuracy, completeness, and compliance of Patient Access workflows to support quality registration practices.
• Conduct audits, including random reviews and targeted audits based on denial trends.
• Partner with Patient Access leadership, Denials Specialists, and Training/Education to identify gaps and drive improvement.
• Provide actionable feedback and maintain documentation and reporting on findings.

Skills

Attention to detail

Excellent communication

Documentation & reporting

EHR/EMR proficiency

Analytical thinking

Education

Bachelor’s degree in Business Administration, Healthcare Administration, Health Information Management

CHAA/CHAM/CRCS certification within 1 year

Tools

EHR/EMR systems

Microsoft Office

Claim scrubbers

Job description

## Quality Assurance AuditorApplyremote type: 2- Hybridlocations: Baptist Health Resource Center: Corporatetime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR105969Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties.To learn more about Baptist Health, visit us at https://www.baptistfirst.org.**Highlights:****Summary**: The Quality Assurance (QA) Auditor is responsible for evaluating the accuracy, completeness, and compliance of Patient Access workflows to support high‐quality registration practices and reduce preventable technical denials across Baptist Health. This individual will conduct comprehensive audits, including random reviews, targeted audits based on denial trends, and ongoing monitoring following training interventions, to ensure consistent adherence to organizational policies, payer requirements, and documentation standards. The Auditor will 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. This position may have additional duties assigned that are within scope of the role.**Education/Experience:**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.**License/Certification:**Certified Healthcare Access Associate (CHAA), Certified Healthcare Access Manager (CHAM), or Certified Revenue Cycle Specialist (CRCS) required or obtained within 1 year of hire**Knowledge, Skills, Abilities:*** Strong understanding of Patient Access workflows, including registration accuracy, financial clearance, insurance entry, and prior authorization.* Working knowledge of CPT, ICD-10, payer guidelines, medical necessity requirements, and common denial types.* High attention to detail and ability to identify patterns, trends, and root causes.* Excellent communication skills and the ability to provide constructive, professional feedback.* Strong documentation and reporting skills.* Ability to maintain objectivity and confidentiality.* Proficiency with EHR/EMR systems, claim scrubbers, and Microsoft Office tools.**Primary Location:**Baptist Health Resource Center**Job:**Quality Assurance AuditorQuality Assurance Auditor**Job Type:**Regular-Full time**Shift**:First Shift (United States of America)