Quality Audit Analyst

@ Adventist Health

Overview

Adventist Health offers a comprehensive benefits package from Day One including career development, whole person wellbeing, and mental health support. Joining AdventHealth means becoming part of a community that values the wholeness of every individual, professionally and spiritually.

Role Overview

The Quality Audit Analyst supports the Revenue Cycle Process Improvement and Business Support team by conducting detailed quality audits on patient accounts, ensuring adherence to policies and regulatory standards. This role includes root cause analysis, collaboration with various departments and subject matter experts, and communication of results to drive operational improvements.

Key Responsibilities

• Perform overall and account-level quality reviews of Revenue Cycle functions.
• Conduct root cause analysis to identify key issues.
• Monitor and process daily, weekly, and monthly billing reports.
• Collaborate with training, education, analytics, and vendor management teams.
• Review insurance discovery findings and recommend process improvements.
• Support go-live activities and provide on-site or virtual observation.

Expertise Required

• Associate degree with 1+ years of work experience.
• Understanding of Revenue Cycle processes including front and back-office functions.
• Strong problem-solving abilities and attention to detail.
• Proficiency in MS Office and familiarity with database programs.
• Experience with HIPAA, insurance benefits, and basic medical terminology.
• Knowledge of Epic systems is a plus.
• Excellent written and verbal communication skills.

Work Schedule and Location

The role is Monday-Friday from 8am to 5pm, located in Altamonte Springs, FL.

Key skills/competency

Quality Audit Analyst, Revenue Cycle, Root Cause Analysis, Process Improvement, Compliance, Training, Education, Epic, MS Office, Medical Terminology