Quality Assurance Auditor

Employment Type: Full Time

REMOTE

Benefits: M/D/V, Life Ins., 401(k)

JOB SCOPE:

The Quality Assurance Auditor is responsible for performing daily audits of payment posting production and balancing activities across domestic and offshore teams. This role ensures accuracy, compliance, and operational integrity in financial transactions, with a focus on reconciling payments, identifying discrepancies, and supporting continuous improvement initiatives within the Revenue Cycle Management (RCM) function.

The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!
About US Oncology The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visitwww.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.

Key Responsibilities

• Audit Payment Posting Batches:
  Review and validate payment posting batches for accuracy, ensuring alignment with remittance advice, bank deposits, and internal reconciliation logs.
• Balancing and Reconciliation:
  Balance daily, weekly, and monthly payment posting reports against bank statements and system entries. Investigate and resolve variances, unknowns, and unapplied payments.
• Compliance and Documentation:
  Ensure adherence to HIPAA, internal policies, and regulatory requirements. Maintain detailed documentation of audit findings, corrective actions, and performance trends.
• Error Identification and Resolution:
  Identify posting errors, mapping issues, and system discrepancies. Collaborate with posting teams and IT to resolve issues and improve data integrity.
• Training and Support:
  Provide feedback and guidance to offshore and domestic teams. Support onboarding and ongoing training by sharing best practices and updated workflows.
• Process Improvement:
  Participate in initiatives to enhance posting accuracy, streamline reconciliation workflows, and improve turnaround times. Recommend updates to SOPs and audit protocols.
• Reporting and Metrics:
  Generate audit reports, track KPIs, and contribute to monthly reporting packages. Ensure clear labeling and segmentation of data for internal and controller-facing audiences.

Required Qualifications

• Minimum of 3 years of experience in healthcare revenue cycle, payment posting, or financial auditing.
• Strong understanding of EOBs, ERA formats, payer remittance structures, and reconciliation processes.
• Proficiency in Centricity, Resolve, and other EHR/payment posting platforms.
• High attention to detail and accuracy in financial data handling.
• Effective communication skills for cross-functional collaboration.
• Familiarity with HIPAA and other regulatory standards.
• Ability to work independently and manage multiple priorities.

Preferred Qualifications

• Experience auditing offshore payment posting teams.
• Knowledge of SNOW ticketing systems and mapping protocols.
• Background in banking or healthcare finance.
• Lean Six Sigma or similar process improvement certification.