Remote LPN Auditor: Quality & Compliance

Banner Health; Phoenix (AZ); Remote; USD 39,000 - 65,000; Full time

Benefits offered by this job

Remote work

Arizona residency required

Job summary

Banner Health is seeking an HP LPN Auditor who will independently triage referrals, manage case assignments, and oversee cases through resolution while ensuring AHCCCS, Medicare, and Medicaid compliance. Workweek is Monday–Friday, 8:00am–4:30pm, with a remote opportunity and residency in Arizona required.

The role supports quality management by reviewing ambulatory records, abstracting data, and assisting with investigations, data analysis, and contract obligations.

Qualifications

• Current, unrestricted State of Arizona LPN license.
• Two years of experience in family practice or pediatric settings preferred.
• Willingness to travel to contracted sites and occasional overnight stays.

Responsibilities

• Develop and use audit tools; analyze data in Excel.
• Conduct medical record audits for AHCCCS standards and re-credentialing.
• Monitor CAPs and communicate results with education and best practices.
• Provide Corrective Action Plans and coordinate with the Credentialing Department.
• Prepare monthly provider profile data and assist with HEDIS data analysis.
• Support QM policy development and system-focused analyses.
• Collaborate with Director and QM teams to improve processes.

Skills

Communication skills

Attention to detail

Independent work

Time management

Leadership

Travel readiness

Education

LPN license

Tools

Microsoft Excel

Job description

Banner Health is seeking an HP LPN Auditor who will independently triage referrals, manage case assignments, and oversee cases through resolution while ensuring AHCCCS, Medicare, and Medicaid compliance. Workweek is Monday–Friday, 8:00am–4:30pm, with a remote opportunity and residency in Arizona required.

The role supports quality management by reviewing ambulatory records, abstracting data, and assisting with investigations, data analysis, and contract obligations.