IT Quality Assurance Lead

Title: IT Quality Assurance Lead
Level : Senior
Hours : Full-time, 40 hours/week
Term : 12 months
Location : remote
Years of experience : > 6
Time-line to fill : two weeks
Estimated start date: ASAP (onboarding can take up to 4 weeks)

Required skills & experience:
Overview:
QA Lead- Computer-Assisted Coding (CAC) & Clinical Documentation Integrity (CDI)

The QA Lead for Computer-Assisted Coding (CAC) and Clinical Documentation Integrity (CDI) Software Deployment is responsible for defining, governing, and executing the quality assurance strategy for enterprise CAC/CDI implementations across inpatient, outpatient, and professional billing environments. This role ensures that system functionality, integrations, workflows, and outputs meet documented business requirements, regulatory expectations, and operational performance standards prior to and following go-live. The QA Lead partners closely with Project Management, Business Analysis, IT, Compliance, and vendors to ensure testing is requirements-driven, auditable, and aligned to long-term operational sustainability-not merely project completion.
Key Responsibilities:
* QA Strategy & Governance.
* Define and maintain the overall QA strategy and test approach for CAC/CDI implementations. Develop, solicit feedback, revise, and secure approval for of the comprehensive test plan.
* Establish QA governance, standards, and entry/exit criteria across testing phases.
* Ensure QA activities align with project schedules, risk management, and deployment milestones.
* Serve as the primary escalation point for quality-related risks, defects, and readiness concerns.
* Periodically audits completed testing to verify documented progress and results.

Requirements-Based Testing Leadership:
* Partner with Business Analysts to ensure requirements are testable, traceable, and complete.
* Maintain a Requirements Traceability Matrix (RTM) linking requirements to test scenarios, test cases, defects, and outcomes.
* Ensure all testing is explicitly tied to approved business, functional, and compliance requirements.
* Validate that test coverage supports both project acceptance and operational use.

Test Planning & Execution Oversight:
* Lead planning and coordination for:
o Unit testing (vendor / IT)
o Integrated testing
o Interface testing
o User Acceptance Testing (UAT)
o Regression testing
* Oversee development and execution of end-to-end test scenarios, including edge cases and exception handling.
* Ensure testing validates clinical, coding, CDI, and revenue cycle workflows end to end.

Clinical, Coding & Revenue Cycle Validation:
* Ensure validation of:
o Coding accuracy and completeness
o CDI query workflows and responses
o DRG/APR-DRG logic and financial impacts
o Downstream billing, claims, and reimbursement readiness
* Partner with Compliance to ensure regulatory and payer-aligned validation.
* Confirm system behavior aligns with CMS, OIG, and AHIMA expectations.

Required Qualifications:
* Bachelor's degree in Information Systems, Healthcare Administration, Health Information Management, or related field.
* 7+ years of healthcare QA, testing, or validation experience, including health IT implementations.
* Strong working knowledge of:
o CAC and CDI workflows
o ICD-10-CM/PCS, CPT/HCPCS coding
o Hospital and professional revenue cycle operations in complex healthcare environments.
o Experience coordinating testing across clinical, IT, and vendor teams.

Preferred Qualifications:
* QA, testing, or quality certifications (ISTQB, CSTE, CSQA).
* HIM or revenue cycle credentials (RHIA, RHIT, CCS, CCDS, CDIP, CRC).
* Experience with CAC/CDI platforms and major EHR systems.
* Experience supporting regulated environments with strong audit requirements.

#ZR

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We offer a comprehensive benefits package to our employees, which includes:

• Medical Insurance
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