Baptist Health - Central Alabama · 3 weeks ago
Quality Assurance Auditor
United States
Full-time
Remote
Mid Level
3+ years expBaptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services. 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.
HealthcareHospitalIndustrialHealth CareTest and Measurement
Responsibilities
Evaluating the accuracy, completeness, and compliance of Patient Access workflows
Conducting comprehensive audits, including random reviews and targeted audits based on denial trends
Ongoing monitoring following training interventions
Partnering with Patient Access leadership, Denials Specialists, and the Training and Education team to identify performance gaps
Validating staff competency and providing actionable feedback that drives continuous improvement
Additional duties assigned that are within scope of the role
Qualification
Required
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
Certified Healthcare Access Associate (CHAA), Certified Healthcare Access Manager (CHAM), or Certified Revenue Cycle Specialist (CRCS) required or obtained within 1 year of hire
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
Preferred
Experience in registration, insurance verification, authorization workflows, or denial prevention strongly preferred
Prior auditing, quality review, or training/education support experience a plus
Benefits
2- Hybrid work arrangement
Company
Baptist Health - Central Alabama
Baptist Health is the largest health care system in Central Alabama and a proud affiliate of the UAB Health System.
Founded in 1975Montgomery, Alabama, USA
1001-5000 employees
H1B Sponsorship
Baptist Health - Central Alabama has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
7%
Represents job field similar to this job
Engineering and Development
Customer Service and Support
Marketing
Management and Executive
Trends of Total Sponsorships
*2026 (3)
2025 (3)
2024 (4)
2023 (2)
2022 (3)
2021 (20)
2020 (6)
Funding
Current Stage
Late StageLeadership Team
Clyde Williams
Chief Information Officer
Company data provided by crunchbase