Perform detailed quality assurance reviews of inbound healthcare data feeds from client facilities, ensuring proper formatting, data integrity, and alignment with system specifications
Validate the successful ingestion and transformation of data into internal billing systems
Conduct end-to-end QA of system configuration for new client onboardings, ensuring alignment with contract requirements and billing workflows
Collaborate with Business Analysts, Developers, and Billing Teams to troubleshoot and resolve data issues and configuration mismatches
Document defects, inconsistencies, and improvement opportunities in a clear and actionable manner
Develop and maintain QA documentation, including test cases, checklists, and standard operating procedures (SOPs)
Participate in client requirement gathering and technical walkthroughs to understand scope and impact of onboarding requirements
Ensure compliance with data privacy and healthcare regulations (e.g., HIPAA)
Assist in continuous improvement initiatives across QA processes to increase efficiency and reduce errors
Requirements
Bachelor's degree in health information management, Computer Science, Information Systems, or a related field (or equivalent work experience)
4+ years of experience in a QA role, preferably within the US healthcare or revenue cycle management (RCM) domain
Experience working with healthcare data, EMRs/EHRs, or medical billing systems
Prior involvement in client onboarding or implementation projects is highly desirable
Strong knowledge of US healthcare workflows and terminology, especially around patient data, medical records, and billing processes
Understanding of revenue cycle management (RCM) and payer-provider dynamics
Proficiency in QA methodologies, tools, and best practices (e.g., test plans, data validation, defect tracking)
Familiarity with healthcare data formats such as HL7, CCD/C-CDA, CSV, or JSON
Hands-on experience with billing systems and/or implementation platforms
Ensure compliance with data privacy and healthcare regulations (e.g., HIPAA)
Exceptional attention to detail and analytical thinking
Excellent communication skills—able to convey technical issues to non-technical stakeholders
Strong organizational and documentation skills
Ability to work independently in a fast-paced, deadline-driven environment