Healthcare Compliance Auditor

Job Summary

We are seeking a meticulous and experienced Quality Assurance (QA) Auditor to join our team. The QA Auditor is responsible for ensuring the integrity and accuracy of patient information within Health Information Technology (HIT) systems.

Duties/Responsibilities

• Identify, assess, correct, and monitor critical aspects of patient data while adhering to strict guidelines set by the Department of Health Care Services (DHCS) and Health Care Providers.
• Navigate and work proficiently with multiple health plan EMR systems.
• Collaborate with various departments to ensure quality standards are met throughout the production process.
• Monitor and identify key errors within patient information.
• Prepare detailed audit reports and present findings to management.
• Comply with organizational guidelines and health care laws and regulations, including HIPAA.
• Perform other duties as assigned.

Education and Experience

• A high school diploma or GED required.
• A bachelor’s degree in a related field preferred.
• Minimum of 1 year of experience in quality assurance auditing or a healthcare role required.

Required Skills/Abilities

• Proficiency in Microsoft Office Suite and quality management software.
• Effective and professional communication skills, both written and verbal.
• Excellent analytical and problem-solving skills.
• Strong attention to detail and organizational skills.
• Bilingual in Spanish preferred.

Work Environment

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Pay and Benefits

The pay range for this position is $18 USD - $22 USD. Full-time employees are eligible for the following benefits enrollment after 60 days of employment:

• Medical, Dental, & Vision Benefits
• Short & Long-Term Disability Benefits
• Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans
• Flexible Spending Accounts
• Employee Assistance Program (EAP)
• 401(K)
• Paid Vacation and Sick Leave
• Paid Holidays
• Employee Referral Program
• Company Discount Program

Equal Employment Opportunity

Optima Medical Management Group and its divisions are an Equal Opportunity Employer. We are committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws.

Pre-Employment

Employment is contingent upon a successful pre-employment drug screening and background check.