Remote Claims Audit Supervisor

Cardinal Health; San Juan (PR); Remote; USD 69,000 - 88,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off plan

401k savings plan

HSA

Job summary

Cardinal Health is seeking an experienced Revenue Cycle Audit Lead to oversee audit activities within the RCM domain. You will supervise the audit team, drive quality assurance, and ensure compliance with federal and state regulations.

Responsibilities include reviewing clinical documentation, preparing audit responses, tracking audits, and communicating findings with CMS and other auditors. The role emphasizes timely action and accurate remediation to protect revenue integrity.

Qualifications

• 4-8 years of experience, preferred.
• Bachelor's degree in related field, or equivalent work experience, preferred.
• Leadership, project management, or supervisory experience preferred.
• Urology or wound care product knowledge preferred.

Responsibilities

• Oversee the Audit team and respond to audit requests in a timely manner; develop and implement audit processes.
• Focus on quality assurance, quality improvement, and compliance with Federal and State regulations.
• Lead team to review clinical documentation for accuracy and compile response packets for audits.
• Coordinate with team members to ensure timely completion of all tasks to high standards.
• Provide monthly feedback on audit outcomes and cover areas related to audits, recoupment inquiries, and payer policies.
• Oversee all aspects of a TPE, CERT, RAC, pre/post payment, or 3rd party audit and respond in time.
• Oversee all aspects of a Recoupment or Refund request and respond in time.

Skills

Leadership

Project management

Supervisory experience

Urology knowledge

Education

Bachelor's degree or equivalent

Job description

Cardinal Health is seeking an experienced Revenue Cycle Audit Lead to oversee audit activities within the RCM domain. You will supervise the audit team, drive quality assurance, and ensure compliance with federal and state regulations.

Responsibilities include reviewing clinical documentation, preparing audit responses, tracking audits, and communicating findings with CMS and other auditors. The role emphasizes timely action and accurate remediation to protect revenue integrity.