Remote Clinical QA Analyst — Healthcare Audits

Staffmark Group; Nashville (TN); Remote; USD 67,000 - 73,000; Full time

Benefits offered by this job

Competitive Weekly Pay

Medical, Dental, Vision Coverage

Life Insurance & Disability Insurance

Optional 401(k) Plan

Growth opportunities

Job summary

Staffmark Group in Nashville, TN is seeking a Clinical Quality Assurance Analyst to perform chart reviews, audits, and data validation to uphold accuracy and compliance. You will monitor quality metrics, generate reports for leadership, and support enterprise quality initiatives in a remote-capable environment.

The role requires 5+ years in clinical healthcare or auditing, plus 4+ years in healthcare quality improvement; knowledge of Medicare/Medicaid and HIPAA is essential.

Qualifications

• Bachelor's degree preferred; equivalent healthcare, clinical, or auditing experience will be considered.
• Relevant coding certifications, healthcare auditing credentials, or quality management experience are a plus.
• Strong computer proficiency, including Microsoft Excel (sorting, filtering, and data analysis).

Responsibilities

• Conduct clinical chart reviews, audits, and clinical data validation to ensure accuracy and compliance.
• Monitor quality metrics and maintain reporting tools that support healthcare quality initiatives.
• Analyze audit findings and prepare reports for leadership and key stakeholders.
• Support company-wide quality improvement programs and clinical auditing processes.
• Ensure compliance with contractual, state, federal, and healthcare quality standards.
• Assist with clinical product implementation, project timelines, and process improvement initiatives.
• Develop and deliver training programs for clinical review and auditing personnel.
• Collaborate with cross-functional teams to support quality management services and client relationships.
• Research industry trends, competitive benchmarks, and healthcare quality opportunities.
• Recommend process improvements and document procedural enhancements.
• Maintain compliance with HIPAA regulations and company policies.

Skills

Quality Assurance

Clinical Auditing

Data Analysis

HIPAA Compliance

Healthcare Knowledge

Remote Work

Education

Bachelor's degree preferred

Healthcare auditing credentials

Microsoft Excel proficiency

Tools

Microsoft Excel

Job description

Staffmark Group in Nashville, TN is seeking a Clinical Quality Assurance Analyst to perform chart reviews, audits, and data validation to uphold accuracy and compliance. You will monitor quality metrics, generate reports for leadership, and support enterprise quality initiatives in a remote-capable environment.

The role requires 5+ years in clinical healthcare or auditing, plus 4+ years in healthcare quality improvement; knowledge of Medicare/Medicaid and HIPAA is essential.