iT Resource Solutions.net,inc ยท 4 hours ago
Healthcare Analyst
iT Resource Solutions.net,inc is seeking a Healthcare Analyst to oversee the QA processes for Computer-Assisted Coding and Clinical Documentation Integrity Software Deployment. This role involves executing detailed testing, validating workflows, and ensuring compliance with business and clinical requirements to enhance coding accuracy and revenue cycle outcomes.
Responsibilities
As governed by the Comprehensive Testing Plan, develop detailed test cases, test scripts, and acceptance criteria aligned to documented requirements
Execute test cases across multiple testing phases, including integration testing, UAT, and regression testing
Validate system behavior across inpatient, outpatient, and professional coding workflows
Document test results clearly and consistently
Partner with Business Analysts and Business Stakeholders to validate that system functionality aligns with business and functional requirements documents, within the context of planned future-state workflows
Execute end-to-end workflow testing, including positive, negative, exceptions, and edge cases
Validate interface data flows and downstream impacts to billing and reporting
Contribute to planning, coordination, and execution of: Unit testing (vendor / IT), Integrated testing, Interface testing, User Acceptance Testing (UAT), Regression testing
Qualification
Required
Bachelor's degree in Information Systems, Healthcare Administration, Health Information Management, or related field
3+ years of healthcare QA, testing, or validation experience, including health IT implementations
Working knowledge of CAC and CDI workflows
Working knowledge of ICD-10-CM/PCS, CPT/HCPCS coding
Working knowledge of hospital and professional revenue cycle operations in complex healthcare environments
Preferred
QA, testing, or quality certifications (ISTQB, CSTE, CSQA)
HIM or revenue cycle credentials (RHIA, RHIT, CCS, CCDS, CDIP, CRC)
Experience with CAC/CDI platforms and major EHR systems
Experience supporting regulated environments with strong audit requirements
Company
iT Resource Solutions.net,inc
iT Resource Solutions (ITRS), a woman-owned, 8(a) certified, Small Disadvantaged Business, IT Services firm provides Strategic Staffing, Project Consulting, Unisys Centric Solutions and Professional Placement Solutions to customers in the Commercial, Federal, State and Local Government sectors