Quality Assurance Auditor

Job Description

Job Description

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

What We're Looking For :

We are seeking a Quality Assurance Auditor to ensure operational effectiveness, regulatory compliance, and continuous process improvement across medical records workflows. This role is critical to safeguarding patient information, ensuring adherence to HIPAA and regulatory standards, and supporting process enhancements that improve accuracy, efficiency, and compliance.

What You Will Do :

Work remotely from anywhere in the United States

• Audit & Quality Control :
• Review the accuracy of pended requests to confirm medical records in HealthSource are captured correctly.
• Perform quality checks to ensure compliance with HIPAA, state / federal laws, client-specific requirements, and invoicing standards.
• Identify workflow issues, error trends, and delays; recommend corrective actions to leadership.
• Conduct audits of request and fulfillment processes to verify adherence to Standard Operating Procedures (SOPs).
• Maintain thorough documentation of audit results, findings, and corrective actions.
• Stay up to date on laws, fee structures, and facility policies governing the release of information.
• Process Improvement :
• Recommend and assist with process enhancements to increase efficiency and accuracy.
• Collaborate with training and operations teams to address recurring issues and contribute to updated training materials or job aids.
• Compliance Monitoring :
• Ensure all requests meet HIPAA, HITECH, and other applicable regulatory standards for handling and releasing Protected Health Information (PHI).
• Monitor adherence to client-specific service-level agreements (SLAs) and protocols.
• Training & Support :
• Provide feedback to team members based on audit outcomes.
• Support onboarding and ongoing QA training for new hires focused on documentation accuracy and compliance.
• Participate in required training sessions, staff meetings, and professional development activities.
• Participate in monthly interrater reliability training with the Quality Assurance Audit Manager and team.

What a Typical Day Looks Like

In this role, you can expect to :

What You Need to Succeed :

Analytical Skills : Ability to analyze data and deliver actionable insights.

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

The estimated base pay range per hour for this role is :

$21—$25 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and / or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and / or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

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