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Clinical Documentation Integrity Specialist - QA

Clinical Documentation Integrity Specialist - QA

AledadeChicago, IL, US
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The CDI Specialist - QA will serve as a quality assurance leader by auditing the work of Clinical Documentation Integrity Specialists (CDIS) and Clinical Documentation Integrity Coders (CDI-Cs), en...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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QA Specialist I

QA Specialist I

Katalyst Healthcares & Life SciencesChicago, IL, US
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Responsibilities : The Specialist Quality Assurance within client Diagnostics Division will analyze quality standards for components, materials or services. Apply measures, sampling methods, testing ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
QA Complaint Specialist

QA Complaint Specialist

Fresenius Kabi USA, LLCChicago, IL, United States
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The QA Complaint Specialist is responsible for working with Quality Complaint Intake Team (Regional QA), US Vigilance & other departments to facilitate the completion of investigations of quality c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Senior QA Lead

Senior QA Lead

E-SolutionsChicago, IL, US
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Position Overview : The job profile for this position is Senior QE Lead.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
QA automation engineer

QA automation engineer

WriterChicago, Illinois, United States
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With Writer, you'll be working closely with the product and the engineering team to ship a product that tens of thousands of people rely on every day. As a QA automation engineer, you’ll be working ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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QA Analyst II

QA Analyst II

CME GroupChicago, IL, US
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The QA Analyst I test engineer who works within the bigger Integration team as a Shared Service and part of internally defined products. The candidate must have good written and verbal communication...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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QA Engineer II

QA Engineer II

Strata Decision TechnologyChicago, Illinois, United States
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At Strata we are fueling the missions of lifeblood industries of our society : Healthcare, Financial Institutions, and Higher Education. As a QA engineer on the Financial Institutions team, you will ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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Lead QA - CHICAGO

Lead QA - CHICAGO

StaffingChicago, IL, US
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Required : 5+ years of Quality Engineering experience managing large enterprise programs.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
QA Analyst II

QA Analyst II

Old National BankChicago, IL, United States
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Old National Bank has been serving clients and communities since 1834.With over $70 billion in total assets, we are a regional powerhouse deeply rooted in the communities we serve.As a trusted part...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Customer QA Coordinator

Customer QA Coordinator

McCracken Bag & Label Co.Chicago, IL, US
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At McCracken Bag & Label, we specialize in high-performance printing for pharmacy labels, commercial product labels, and custom bags. In our industry, quality isn’t just important it&rsquo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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QA Analyst

QA Analyst

VirtualVocationsLincolnwood, Illinois, United States
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A company is looking for a QA Analyst to ensure the quality and reliability of software solutions.Key Responsibilities Perform manual testing including functional, regression, smoke, and acceptan...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Lead QA

Lead QA

Robert HalfChicago, IL, US
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We are looking for an experienced Lead QA Analyst to join our team on a long-term contract basis 100% remote.In this role, you will take the lead in ensuring the quality and functionality of softwa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Project Manager QA

Project Manager QA

ArtechChicago, IL, US
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Job Duration : 12 months Location : Chicago, Il or Waco, Tx Pay Range : $52 - $54 Per Hour Interview Timing : Week Of 8 / 25, Before 10 : 30 Am Required Skills And Experience General Quality System Knowled...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
QA Automation Specialist

QA Automation Specialist

The Judge GroupChicago, IL
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Our client is currently seeking a QA Automation Specialist.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Senior QA Lead

Senior QA Lead

Noblesoft TechnologiesChicago, Illinois, USA
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The Senior QE Lead will be responsible for management and execution of comprehensive test suites in integrated test environment (INT) for Medicare business specifically focusing on Provider Data Ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Clinical Documentation Integrity Specialist - QA

Clinical Documentation Integrity Specialist - QA

Aledade, Inc.Chicago, IL
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CDI-S QA) will serve as a quality assurance leader by auditing the work of Clinical Documentation Integrity Specialists (CDIS) and Clinical Documentation Integrity Coders (CDI-Cs), ensuring complet...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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QA Technician

QA Technician

Alpha Baking CompanyChicago, IL, US
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We are seeking a detail-oriented and dedicated Quality Assurance Technician to join our team at a high-volume commercial bakery operating 24 / 7. The QA Technician will be responsible for monitoring a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Junior QA Engineer

Junior QA Engineer

AltelaChicago, Illinois, United States
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Compensation : $60,000 - $80,000 plus equity.Comprehensive benefits package included.Minimum Experience Required : Bachelor's degree in Computer Science or a related field, or equivalent practical ex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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IL - QA Manager

IL - QA Manager

PharmaCannisChicago, IL, US
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Be a part of the team shaping the future of this booming industry, where our people, our reputation and our standards matter. With a strong foundation and dynamic growth plan, opportunities to join ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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QA Automation Engineer

QA Automation Engineer

Integrated Technology Strategies, Inc.Chicago, IL, US
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Location- Chicago, IL or Houston, TX (Day 1 Onsite).Strong API testing skills with functional and automation.Prepare Test Plans, Testing requirements. Good at interaction with Business Teams if any ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Clinical Documentation Integrity Specialist - QA

Clinical Documentation Integrity Specialist - QA

AledadeChicago, IL, US
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CDI Specialist - QA

The CDI Specialist - QA will serve as a quality assurance leader by auditing the work of Clinical Documentation Integrity Specialists (CDIS) and Clinical Documentation Integrity Coders (CDI-Cs), ensuring complete, accurate, and compliant diagnostic documentation and coding in alignment with ICD-10-CM guidelines, CMS risk adjustment methodology, payer requirements, and Aledade's internal standards. This role plays a critical part in maintaining the integrity of documentation review workflows and improving the effectiveness of field-level education. The CDI-S QA will provide structured feedback to CDI staff, identify trends and training needs, support quality improvement initiatives, and collaborate with clinical, coding, and operational leaders. Occasional travel to practices may be required, with most work performed remotely. The ideal candidate is detail-oriented, quality-focused, and fluent inor willing to masterGoogle Suite tools.

Primary Duties :

  • Conduct routine and focused audits of CDIS and CDI-C chart reviews to assess accuracy, compliance, completeness, and consistency. Identify documentation improvement opportunities and recommend corrections. Summarize audit findings and provide actionable feedback to CDI team members and leadership.
  • Analyze trends across audit results to identify team- or market-level gaps. Collaborate with CDI leadership to design and refine quality standards, protocols, workflows, and internal guidance materials. Contribute to continuous quality improvement initiatives.
  • Support and deliver internal training and calibration sessions for the CDI team. Assist in onboarding new team members by validating their documentation and coding reviews. Serve as a subject matter expert on CMS HCC risk adjustment and documentation integrity best practices.

Minimum Qualifications :

  • Bachelor's degree in a healthcare-related field or equivalent experience required
  • Current certification as a Certified Professional Coder (CPC), or equivalent
  • CDEO (AAPC), CRC (AAPC), or CCDS-O (ACDIS) certification required
  • Minimum of 3 years recent experience in Clinical Documentation Integrity or 5+ years of risk adjustment auditing experience
  • Deep understanding of ICD-10-CM coding, HCC risk adjustment, documentation compliance, and value-based care principles
  • Strong written and verbal communication skills, with experience delivering feedback to peers or staff.
  • Demonstrated ability to identify documentation gaps and explain the clinical and financial impacts of inaccurate coding
  • Experience with EHR systems, chart abstraction, and outpatient clinical workflows
  • Skilled in synthesizing audit results to drive education and process improvement
  • Preferred Key Skills and Abilities :

  • Prior experience in a CDI QA, audit, or compliance oversight role
  • Successful track record in outpatient coding and billing through previous experience
  • Self-directed and solution oriented
  • Strong understanding of value-based care principles, particularly as they relate to the impact of clinical documentation and coding on risk adjustment payment models in value-based contracts
  • Strong understanding of outpatient coding and billing
  • Solution-oriented individual who can execute tactical continuous quality improvement work to deliver results in value-based contracts
  • Excellent communicator who can articulate the impact of documentation and diagnosis initiatives to Aledade ACO member practices and their key staff (e.g., office managers, practice billers, etc.), and internally within the company.
  • Ability to work collaboratively across Aledade clinical and non-clinical teams to gain buy-in and implement key documentation improvement initiatives
  • References demonstrating high degree of integrity and professional accountability