QA Analyst, Billing

Posted 16 Hours Ago
Be an Early Applicant
5 Locations
In-Office or Remote
Junior
Healthtech • Software
The Role
The QA Analyst - Billing role involves conducting quality audits on billing activities, ensuring accuracy, compliance, and documenting findings to improve billing processes. The position supports the Revenue Cycle Services team by identifying errors and contributing to continuous process improvements.
Summary Generated by Built In

For over 29 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS).  
 

Serving over 2,700 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.
 

Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 20252023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.
Discover how SIS can help you Operate Smart™ at sisfirst.com.

 

The QA Associate – Billing is responsible for performing quality reviews of billing activities to ensure accuracy, compliance, and adherence to established workflows and client-specific requirements. This role supports the Revenue Cycle Services team by identifying errors, documenting findings, and contributing to continuous improvement efforts that reduce rework, denials, and revenue leakage for Ambulatory Surgery Center (ASC) clients. 

Quality Audits & Review

  •  Perform routine quality audits on billing activities, including charge entry, claim creation, claim submission, and corrections.
  •  Validate accuracy of CPT/HCPCS codes, modifiers, diagnosis codes (as applicable), units, and claim formatting.
  •  Ensure compliance with client-specific billing guidelines, payer rules, and internal SOPs.
  •  Apply established QA scorecards and error definitions consistently.

Documentation & Reporting

  •  Document audit results clearly, including error categorization and supporting detail.
  •  Enter audit findings into QA tracking tools and dashboards.
  •  Escalate recurring or high-risk issues to the QA Manager per defined protocols.

Collaboration & Feedback

  •  Share audit feedback with billing team leads and supervisors in a constructive, objective manner.
  •  Partner with Training, Operations, and QA leadership to highlight common error trends.
  •  Support retraining efforts by identifying opportunities for process clarification or standardization. 

Continuous Improvement

  •  Track error trends and contribute insights to help reduce downstream denials and rework.
  •  Participate in calibration sessions to ensure scoring consistency across QA reviewers.
  •  Assist with updates to QA guidelines, audit checklists, and documentation as processes evolve. 

Education & Experience

  •  Bachelor’s degree in Healthcare Administration, Business, Finance, or related field or equivalent experience.
  •  1–3 years of experience in healthcare revenue cycle billing.
  •  Experience in ASC billing is strongly preferred.
  •  Prior exposure to quality review, auditing, or compliance is a plus.

Technical & Functional Skills

  •  Working knowledge of:
  •  Medical billing workflows
  •  CPT, HCPCS, ICD-10 (basic to intermediate level)
  •  Payer claim submission requirements
  •  Experience with practice management and/or RCM systems.
  •  Strong attention to detail and accuracy.

BENEFITS:

  • Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
  • Vacation/Sick time
  • 401(k) retirement plan with company match
  • Paid Holidays
  • SIS Cares Day

We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses. 

Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.

At this time we are unable to sponsor H1B candidates

Qualifications Education Preferred High School or better. Bachelors or better. Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Top Skills

Cpt
Hcpcs
Icd-10
Practice Management
Rcm Systems
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The Company
HQ: Alpharetta, GA
539 Employees
Year Founded: 1996

What We Do

Since 1996, Surgical Information Systems (“SIS”) has been dedicated to providing surgical care providers with the solutions and services they need to deliver improved operational, financial, and clinical outcomes. Focused exclusively on perioperative IT, SIS serves over 2900 facilities across the United States and Canada.

The SIS product suite is built specifically for the perioperative environment and includes hospital and ASC-focused solutions covering perioperative Electronic Medical Records (EMRs), Anesthesia Information Management Systems (AIMS), ASC business management, and business intelligence and analytics solutions. SIS’ AmkaiCharts™ solution, is the No. 1 ranked outpatient EMR[1]. Services, including revenue cycle management and ASC advisory services, complement SIS’ software solutions.

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