ITQA Lead – athenaIDX Revenue Cycle Program
About The Position
CTG is seeking to fill an ITQA Lead – athenaIDX Revenue Cycle Program position for our client. 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), as well as a complex ecosystem of upstream and downstream clinical, financial, and ancillary systems. This role combines deep revenue cycle expertise, advanced technical QA/testing capabilities, and leadership accountability for quality outcomes across multiple interdependent initiatives.
Requirements
- Strong expertise in athenaIDX HPA and BAR systems
- Deep knowledge of revenue cycle operations, charge capture, billing, and claims processing
- Experience with system integration testing (SIT), E2E testing, and regression testing
- Strong understanding of ETM, EDI workflows, edits, hold bills, and denial management
- Knowledge of oncology revenue cycle workflows including infusion, clinical trials, and specialty pharmacy billing
- Strong analytical, troubleshooting, and defect resolution skills
- Ability to lead cross-functional QA efforts and influence without direct authority
- Strong communication skills with ability to translate technical issues into operational and financial impact
- Experience with compliance, HIM, coding, and revenue integrity requirements
- 10+ years of experience in healthcare IT quality assurance and revenue cycle systems
- Extensive hands-on experience with athenaIDX HPA and BAR required
- Proven experience leading large-scale system integration and end-to-end testing initiatives
- Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.
Nice To Haves
- Experience in complex hospital or academic medical center environments strongly preferred
- Oncology or complex specialty revenue cycle experience highly preferred
- Experience supporting enterprise RCM transformation programs preferred
Responsibilities
- Provide end-to-end QA oversight for athenaIDX integrations, ensuring accurate data flow across patient demographics, encounters, charges, coding, claims, and payments
- Design and execute system integration testing (SIT), end-to-end (E2E), regression testing, charge validation, claim validation, and workflow testing
- Identify impacted systems and integration touchpoints for athenaIDX changes and coordinate validation activities across teams
- Partner with Interface, Application, Vendor, Compliance, HIM, Coding, Finance, and Revenue Cycle Operations teams to resolve defects and ensure regulatory alignment
- Validate charge logic configurations, including Altera Charge Logic Module workflows, ensuring accurate, compliant, and auditable charge capture
- Verify elimination of duplicate charges/documentation and ensure downstream posting accuracy into athenaIDX
- Lead QA for dictionary and table configuration changes, ensuring accurate mapping and downstream system impacts are fully tested
- Execute pre- and post-implementation validation to confirm system integrity, stability, and workflow consistency
- Oversee QA for Edits and Hold Bills optimization initiatives, including validation of edits removal, creation, and revision logic
- Test ETM and EDI workflows to ensure improved claim routing, reduced rejections, and alignment with user roles and operational processes
- Support denial prevention initiatives by identifying and validating upstream system issues contributing to preventable denials
- Validate fixes related to medical necessity, prior authorization, site-of-service rules, oncology billing, infusion services, clinical trials, pharmacy, and 340B workflows
- Develop test strategies, test plans, scripts, defect tracking, and formal QA sign-off documentation
- Provide governance, QA standards, and readiness assessments across all RCM transformation initiatives
- Communicate risks, issues, testing status, and quality outcomes to program and executive leadership
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
501-1,000 employees
