ZipRecruiter

Log In

1

Quality Validation Jobs (NOW HIRING)

Machinify

Quality Validation Specialist

The Quality Validation Specialist identifies trends, provides actionable feedback and education, monitors auditor performance, and promotes standardized application of coding guidelines and ...

Kelly Services

Quality Validation Manager

Raleigh, NC · On-site

$135K/yr

Kelly Science is seeking a Quality Assurance Validation Lead to join a growing team located in Raleigh, NC. Salary: $135,000/year Shift: Monday-Friday 1st Shift (Fully on-site) Employment Type ...

Oatey Es

Quality Validation Engineer

Shakopee, MN · On-site

$85K - $103K/yr

The Quality Validation Engineer analyzes test data to determine the causes of defects, failures, or flaws and helps facilitate corrective measures. The role will improve product quality by evaluating ...

New

Oatey

Quality Validation Engineer

Shakopee, MN · On-site

$85K - $103K/yr

The Quality Validation Engineer analyzes test data to determine the causes of defects, failures, or flaws and helps facilitate corrective measures. The role will improve product quality by evaluating ...

New

MEDVACON

GMP Quality Validation - Lab

Kansas City, MO · On-site

Our focus is providing consulting and talent acquisition services for cGMP Quality and Compliance, Validation and Regulatory for pharmaceutical and biotechnology companies. Validation representative ...

Tolmar

Senior Quality Validation Engineer

Windsor, CO · On-site

$138K - $148K/yr

Core Hours Monday - Friday, 8:00 am - 5:00 pm Purpose and Scope The Senior Quality Validation Engineer is responsible for driving validation initiatives and execution across multiple systems and ...

Tolmar

Senior Quality Validation Engineer

Windsor, CO

$87K - $118K/yr

Core Hours Monday - Friday, 8:00 am - 5:00 pm Purpose and Scope The Senior Quality Validation Engineer is responsible for driving validation initiatives and execution across multiple systems and ...

Tolmar Inc.

Senior Quality Validation Engineer

Windsor, CO

$87K - $118K/yr

Core Hours Monday - Friday, 8:00 am - 5:00 pm Purpose and Scope The Senior Quality Validation Engineer is responsible for driving validation initiatives and execution across multiple systems and ...

next page

Showing results 1-20

All JobsQuality Validation Jobs

Quality Validation information

See salary details

$22

$51

$78

How much do quality validation jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for quality validation in the United States is $52.00, according to ZipRecruiter salary data. Most workers in this role earn between $39.42 and $63.22 per hour, depending on experience, location, and employer.

What are some common challenges faced in a Quality Validation role and how can they be addressed?

Professionals in Quality Validation often encounter challenges such as managing tight project deadlines, ensuring compliance with ever-evolving regulatory standards, and effectively communicating with cross-functional teams. Addressing these challenges involves strong organizational skills, continuous learning about industry regulations, and fostering collaboration between departments like manufacturing, R&D, and quality assurance. Staying proactive and maintaining thorough documentation also helps mitigate risks and improve validation processes.

What is Quality Validation?

Quality Validation is a process used in various industries, especially in manufacturing, pharmaceuticals, and software development, to ensure that products, processes, or systems meet predefined quality standards and regulatory requirements. It involves planned and systematic activities such as testing, documentation, and reviews to confirm that the final output consistently meets the intended purpose. Quality Validation helps organizations minimize errors, enhance reliability, and build customer trust by ensuring that products are both safe and effective before they reach the market.

What are the key skills and qualifications needed to thrive as a Quality Validation Specialist, and why are they important?

To excel as a Quality Validation Specialist, you need a solid understanding of quality assurance principles, regulatory compliance, and validation methodologies, often supported by a degree in a scientific or engineering field. Familiarity with validation protocols, statistical analysis software, and quality management systems (QMS) is typically required, along with certifications like Six Sigma or GMP training. Attention to detail, problem-solving, and effective communication are crucial soft skills for identifying issues and ensuring compliance across teams. These competencies are vital for maintaining product safety, regulatory adherence, and continuous improvement within quality-driven industries.

What is the difference between Quality Validation vs Quality Assurance?

AspectQuality ValidationQuality Assurance
Primary FocusEnsuring products meet user needs and specifications through testing and validationImplementing processes to prevent defects and improve quality systems
ActivitiesValidation testing, product verification, compliance checksProcess audits, quality system development, preventive measures
CredentialsOften requires technical certifications and testing experienceQuality management certifications like ISO, Six Sigma
Work EnvironmentLaboratories, testing facilities, production linesQuality departments, process improvement teams

While both roles aim to ensure product quality, Quality Validation focuses on testing and verifying that products meet specifications, whereas Quality Assurance emphasizes establishing processes to prevent defects and improve overall quality systems.

More about Quality Validation jobs
What are the most commonly searched types of Quality Validation jobs? The most popular types of Quality Validation jobs are:
What states have the most Quality Validation jobs? States with the most job openings for Quality Validation jobs include:
What job categories do people searching Quality Validation jobs look for? The top searched job categories for Quality Validation jobs are:
Quality Validation jobs near you
Infographic showing various Quality Validation job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $108,152 per year, or $52 per hour.
Quality Validation Specialist

Quality Validation Specialist

Machinify

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago

Job description

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
About the Opportunity
The Quality Validation Specialist reviews completed outpatient coding validation audits to ensure accuracy, consistency, compliance, and adherence to client, regulatory, and organizational standards. This role evaluates audit quality related to APCs, EAPGs, CPT, HCPCS Level II, and ICD-10-CM coding while supporting continuous improvement initiatives across the validation process. The Quality Validation Specialist identifies trends, provides actionable feedback and education, monitors auditor performance, and promotes standardized application of coding guidelines and reimbursement methodologies. This position partners closely with leadership to enhance audit quality, maintain compliance, and support operational excellence.
What you'll do
  • Performs secondary reviews of completed outpatient coding validation audits to verify coding accuracy, supporting rationale, and compliance with official coding guidelines, payer policies, reimbursement methodologies, and internal audit standards.
  • Evaluates auditor performance against established quality and accuracy benchmarks, identifying trends, educational opportunities, and areas requiring corrective action.
  • Provides detailed, constructive feedback and coaching to auditors to promote consistency, accuracy, and appropriate interpretation and application of coding and billing guidelines.
  • Develops, maintains, and enhances quality assurance tools, scorecards, audit tracking mechanisms, and documentation standards to support objective and consistent review processes.
  • Collaborates with leadership and operational teams to improve audit methodologies, clarify coding guidance, standardize processes, and support continuous quality improvement initiatives.
  • Validates accurate assignment and review of CPT, HCPCS Level II, and ICD-10-CM codes, including appropriate use of modifiers and supporting references such as Official Coding Guidelines, CMS regulations, AMA guidance, LCDs, and NCDs.
  • Develops and maintains QA tools, scorecards, and documentation standards to support objective review processes.
  • Monitors and reports QA metrics, audit findings, quality trends, and corrective action plans to leadership for performance oversight and operational improvement.
  • Maintains current knowledge of outpatient reimbursement methodologies, regulatory updates, coding changes, and industry standards related to Medicare OPPS, APCs, and EAPGs.
  • Ensures adherence to ethical coding and auditing standards established by AHIMA, AAPC, CMS, and organizational compliance policies.
  • Performs secondary reviews across multiple audit and coding platforms while maintaining established productivity and quality expectations.
  • Assists with development and delivery of training materials and educational resources related to identified trends, coding updates, policy changes, and performance improvement opportunities.
  • Participates in calibration sessions and quality consistency initiatives to ensure standardized audit interpretation and scoring methodologies.
  • Performs other duties as assigned.

What experience you bring (Role Requirements)
Required Qualifications:
  • Associate's or Bachelor's degree in Health Information Management, Healthcare Administration, or a related field preferred.
  • Current certification through AHIMA and/or AAPC required, including one or more of the following:
    • RHIA (Registered Health Information Administrator)
    • RHIA (Registered Health Information Administrator)
    • CCS (Certified Coding Specialist)
    • CPC (Certified Professional Coder)
  • Minimum of 5 years of hospital outpatient coding experience within OPPS reimbursement methodologies and/or at least 5 years of outpatient/APC validation auditing experience.
  • Extensive knowledge of CPT, HCPCS Level II, ICD-10-CM, NCCI edits, and appropriate modifier usage.
  • Strong understanding of Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classifications (APCs), and outpatient reimbursement methodologies.
  • Proficiency interpreting and applying Medicare LCD and NCD guidelines.
  • Experience using industry-standard encoder and auditing tools such as Optum, TrueBridge, and/or 3M.
  • Demonstrated ability to review and validate a broad range of outpatient facility services and claim types.
  • Strong analytical, critical thinking, organizational, and problem-solving skills.
  • Excellent verbal and written communication skills with the ability to provide clear, professional feedback and education.
  • Ability to work independently and collaboratively in a fast-paced production and quality-driven environment.

Preferred Qualifications:
  • 5-7 years of experience performing pre-pay, post-pay, and/or post-adjudication outpatient validation reviews related to OPPS/APC reimbursement.
  • Advanced experience auditing or coding complex outpatient facility claims, including but not limited to:
    • Interventional Radiology
    • Radiation Oncology
    • Behavioral Health
    • Ambulatory Surgery
    • Cardiac Catheterization
    • Implants
    • Injections and Infusions
    • Emergency Department - including ED E&M Leveling
    • Observation Services and carve-out reimbursement scenarios
  • Experience coding, auditing, or validating Enhanced Ambulatory Patient Grouping (EAPG) claims.
  • Prior quality assurance, auditor mentoring, training, or team lead experience preferred.

What Success Looks Like...
After 3 months
You will have a strong understanding of the role.
You begin building relationships and collaborating with peers.
You develop effective time and priorities management.
You receive initial feedback about your performance and are using it to improve.
You've gained confidence in your abilities and are starting to feel more comfortable in your role.
After 1 year
You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
You have established a strong network of internal relationships and are recognized as a key collaborator.
You've been entrusted with greater responsibility indicating the company's confidence in your abilities.
You see opportunities for career progression and personal development.
Pay range: This is an exempt position starting at $105,000 with bonus opportunity.
The salary range is for Base Salary. Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee's geographic location.
What's in it for you
  • PTO, Paid Holidays, and Volunteer Days
  • Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
  • Tuition Reimbursement
  • Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
  • Remote and hybrid work options

Equal Employment Opportunity at Machinify
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

Apply