Remote Claims Audit Manager (QA & Compliance)

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

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

401k with company match

HSA and FSAs

Disability coverage

Work-Life resources

Parental leave

Wellness programs

Job summary

Cardinal Health is seeking an Audit/QA leader in Revenue Cycle Management to oversee audit responses, ensure compliance with Federal and State regulations, and drive quality improvement. The role manages timelines, coordinates with CMS and auditors, and reviews clinical documentation for accuracy across payor and provider audits.

The position offers remote work with schedule alignment to business needs and an anticipated salary range, reflecting US market norms for experienced audit

Qualifications

• Bachelor's degree in a related field or equivalent work experience required.
• Leadership, project management, or supervisory experience preferred.
• Experience with audits (TPE, RAC, CERT, payor) and quality initiatives advantageous.

Responsibilities

• Oversee Audit team and respond to audit requests.
• Lead quality assurance and quality improvement activities to support compliance.
• Review clinical documentation for accuracy and compile audit response packets.
• Ensure timely completion of tasks and maintain high standards.
• Communicate findings and corrective actions to stakeholders and regulators.

Skills

Leadership

Project management

Supervisory experience

Audits/Compliance

Education

Bachelor's degree or equivalent

Job description

Cardinal Health is seeking an Audit/QA leader in Revenue Cycle Management to oversee audit responses, ensure compliance with Federal and State regulations, and drive quality improvement. The role manages timelines, coordinates with CMS and auditors, and reviews clinical documentation for accuracy across payor and provider audits.

The position offers remote work with schedule alignment to business needs and an anticipated salary range, reflecting US market norms for experienced audit