Remote Claims Audit Lead – Compliance & QA

Cardinal Health, Inc.; United States; Remote; USD 69,000 - 88,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401k savings plan

Paid time off

Job summary

Cardinal Health is seeking a skilled professional to oversee the Audit team within Revenue Cycle Management. You will ensure timely audit responses, monitor compliance with federal and state rules, and guide processes that verify correct provider payments. Remote work is available with standard business hours.

The role emphasizes leadership, QA, and collaboration across teams to maintain accurate documentation and strong audit outcomes.

Qualifications

• Leadership, project management or supervisory experience preferred.
• Bachelor's degree in related field or equivalent work experience preferred.
• Urology or wound care product knowledge preferred.

Responsibilities

• Oversee audit team and respond to audit requests promptly.
• Lead quality assurance and compliance activities per regulations.
• Review clinical documentation validity for accuracy and respond to audits.
• Collaborate with teammates to finish tasks on time and to high standards.
• Provide monthly feedback on audit and recoupment matters to leadership.
• Manage all aspects of TPE, CERT, RAC, pre/post payments and third-party audits.
• Review recoupment or refund requests and respond within deadlines.
• Monitor and trend ongoing audits and document findings.
• Ensure communication with CMS/auditors and policy compliance.

Skills

Leadership

Project management

Supervisory experience

Quality assurance

Regulatory compliance

Education

Bachelor's degree in related field

Job description

Cardinal Health is seeking a skilled professional to oversee the Audit team within Revenue Cycle Management. You will ensure timely audit responses, monitor compliance with federal and state rules, and guide processes that verify correct provider payments. Remote work is available with standard business hours.

The role emphasizes leadership, QA, and collaboration across teams to maintain accurate documentation and strong audit outcomes.