IT QA Lead

ITQA Lead - athenaIDX Revenue Cycle Program Position Summary

The Information Technology IT Quality Assurance Lead (ITQA Lead) for the RCM Transformation Program is a senior, hands‑on quality and validation leader responsible for ensuring the accuracy, stability, and end‑to‑end integrity of revenue cycle system changes across athenaIDX Hospital Patient Accounting (HPA) and Billing Accounts Receivable (BAR) and a highly complex ecosystem of upstream and downstream clinical, financial, and ancillary systems.

This role combines deep functional revenue cycle knowledge, advanced technical validation and testing expertise, and leadership accountability for quality outcomes across multiple interdependent RCM initiatives. The ITQA Lead will personally execute and lead system integration testing, regression testing, charge and claim validation, and workflow verification while also setting testing standards, mentoring QA analysts, coordinating cross‑functional test cycles, and serving as a trusted advisor to RCM and IT leadership.

Given the oncology focus, this position requires strong understanding of charge capture complexity, medical necessity, prior authorization, infusion services, clinical trials, pharmacy and 340B considerations, and denial prevention strategies.

Provide end‑to‑end quality assurance oversight for athenaIDX integrations with multiple upstream and downstream systems, ensuring accurate data flow, charge capture, billing, and claim submission.

Key responsibilities include:

• Identify and document all impacted systems and integration touchpoints related to athenaIDX changes
• Design and execute system integration testing (SIT), end‑to‑end (E2E), and regression testing
• Validate data integrity across patient demographics, encounters, orders, charges, coding, claims, and payments
• Actively test and troubleshoot integration scenarios
• Partner with Interface, Application, and Vendor teams to resolve defects and integration failures

Serve as ITQA lead and subject matter expert for testing and validation of the Altera Charge Logic Module, ensuring accurate, compliant, and auditable charge capture.

Responsibilities include:

• Validate rules‑based charge logic translating clinical activity into defensible charges
• Test charge workflows embedded within Altera clinical documentation
• Verify:
  • Single application review for charge creation
  • Elimination of duplicate documentation and charge review
  • Accuracy and completeness of downstream charge posting to athenaIDX
• Ensure all charge logic produces a clear, visible audit trail supporting compliance and external audits
• Validate coding efficiency and accuracy gains through scenario based and production‑like testing
• Partner with Compliance, HIM, Coding, and Finance to confirm regulatory and payer requirements are met

Lead QA activities supporting the analysis, revision, addition, and deletion of athenaIDX HPA and BAR dictionaries and tables.

Key accountabilities:

• Validate dictionary and table configuration changes and mapping accuracy
• Ensure downstream impacts to charging, billing, claims, reporting, and workflows are fully tested
• Execute pre and post implementation comparisons of system behavior
• Support the application of the PICOT framework through measurable test outcomes
• Validate improvements to:
  • Patient account data integrity
  • Accounts receivable throughput
  • System stability and configuration consistency

Provide hands‑on QA leadership for projects focused on optimizing Edits and Hold Bills within athenaIDX HPA and BAR ETM.

Responsibilities include:

• Validate removal, revision, or creation of edits and hold bills
• Test scenarios for:
  • Duplicative edits
  • Ambiguous or unclear logic
  • Edits better managed via workflows or personnel processes
• Validate TES Edits being converted to Hold Bills
• Execute comparative testing and analysis of:
  • DNFB
  • A/R Days
  • EDI rejections
  • Denial rates
• Ensure changes improve operational efficiency without introducing compliance or financial risk

Lead QA efforts for…