Remote LPN Auditor — Quality & Compliance Specialist

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

Benefits offered by this job

Comprehensive benefits

Job summary

Banner Health seeks an experienced LPN Auditor to independently triage referrals, manage assignments, and oversee audits ensuring AHCCCS, Medicare, and CMS requirements are met. The role is remote with Arizona residency required and training provided.

Strong data analysis and collaboration with QM teams are essential to success. The position emphasizes attention to detail, autonomous work, and commitment to high-quality outcomes, with a focus on improving quality management and regulatory

Qualifications

• Current, unrestricted State of Arizona LPN license.
• Two years of experience in family practice or pediatric medical office setting.
• Ability to travel to all contracted sites, which may require overnight stays.
• Excellent verbal and written communication; ability to maintain confidentiality.
• Knowledge and understanding of HEDIS, AHCCCS, CMS standards and reporting requirements.

Responsibilities

• Triages referrals and assigns investigations; oversees cases to resolution.
• Performs quality medical record audits to ensure AHCCCS documentation standards are met.
• Analyzes data using Excel and prepares data reports for review.
• Develops Corrective Action Plans with the Credentials Committee and coordinates with Credentialing Department.
• Collaborates with QM RN and other stakeholders to support program improvements.
• Supports AHCCCS operation reviews and ongoing quality management initiatives.

Skills

Data analysis

Excel

Regulatory compliance

Communication

Independent work

Education

LPN license

Job description

Banner Health seeks an experienced LPN Auditor to independently triage referrals, manage assignments, and oversee audits ensuring AHCCCS, Medicare, and CMS requirements are met. The role is remote with Arizona residency required and training provided.

Strong data analysis and collaboration with QM teams are essential to success. The position emphasizes attention to detail, autonomous work, and commitment to high-quality outcomes, with a focus on improving quality management and regulatory