Phoenix, AZ · On-site
$80 - $100/hr
Quality Assurance Coder/Auditor We are seeking an experienced Quality Assurance Coder/Auditor with ... Experience Experience with Medicare Advantage, RADV, HEDIS, CMS Star Ratings, and provider ...
New
Phoenix, AZ · On-site
$80 - $100/hr
Quality Assurance Coder/Auditor We are seeking an experienced Quality Assurance Coder/Auditor with ... Experience Experience with Medicare Advantage, RADV, HEDIS, CMS Star Ratings, and provider ...
New
Phoenix, AZ · On-site
$45/hr
Quality Assurance Coder/Auditor Location: Phoenix, AZ Duration: 06 Month+ Conract Pay Range: $45 ... Experience with Medicare Advantage, RADV, HEDIS, CMS Star Ratings, and provider education is ...
Phoenix, AZ · On-site
$45/hr
Quality Assurance Coder/Auditor Location: Phoenix, AZ Duration: 06 Month+ Conract Pay Range: $45 ... Experience with Medicare Advantage, RADV, HEDIS, CMS Star Ratings, and provider education is ...
Phoenix, AZ · On-site
$100 - $125/hr
On a regular basis, Coder/Auditor will educate primary care providers and their staff on their ... REQUIRED COMPETENCIESRequired Job SkillsExcellent understanding of the CMS crosswalk of ICD ...
Phoenix, AZ · On-site
$100 - $125/hr
On a regular basis, Coder/Auditor will educate primary care providers and their staff on their ... REQUIRED COMPETENCIESRequired Job SkillsExcellent understanding of the CMS crosswalk of ICD ...
Apache, AZ · Remote
$26.44 - $52.40/hr
The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of ... CMS) ICD-CM Official Guidelines for Coding and Reporting American Hospital Association (AHA) Coding ...
Apache, AZ · Remote
$26.44 - $52.40/hr
The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of ... CMS) ICD-CM Official Guidelines for Coding and Reporting American Hospital Association (AHA) Coding ...
On a regular basis, Coder/Auditor will educate primary care providers and their staff on their ... Excellent understanding of the CMS crosswalk of ICD diagnosis codes to Hierarchical Condition ...
On a regular basis, Coder/Auditor will educate primary care providers and their staff on their ... Excellent understanding of the CMS crosswalk of ICD diagnosis codes to Hierarchical Condition ...
On a regular basis, Coder/Auditor will educate primary care providers and their staff on their ... Excellent understanding of the CMS crosswalk of ICD diagnosis codes to Hierarchical Condition ...
On a regular basis, Coder/Auditor will educate primary care providers and their staff on their ... Excellent understanding of the CMS crosswalk of ICD diagnosis codes to Hierarchical Condition ...
On a regular basis, Coder/Auditor will educate primary care providers and their staff on their ... Excellent understanding of the CMS crosswalk of ICD diagnosis codes to Hierarchical Condition ...
On a regular basis, Coder/Auditor will educate primary care providers and their staff on their ... Excellent understanding of the CMS crosswalk of ICD diagnosis codes to Hierarchical Condition ...
Clinical Quality Compliance Auditor RN The Clinical Quality Compliance Auditor RN's overall purpose ... Assists with Center for Medicare and Medicaid Services (CMS) and state continuous readiness through ...
New
Clinical Quality Compliance Auditor RN The Clinical Quality Compliance Auditor RN's overall purpose ... Assists with Center for Medicare and Medicaid Services (CMS) and state continuous readiness through ...
New
The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage ... Certified Professional Medical Auditor (CPMA); AND * National Alliance of Medical Auditing ...
The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage ... Certified Professional Medical Auditor (CPMA); AND * National Alliance of Medical Auditing ...
PURPOSE OF THE JOB The Clinical Trainer and Auditor is responsible for planning, developing ... Prior experience in NCQA Surveys, CMS Program Audit, and/or AHCCCS Operational Review * Prior audit ...
PURPOSE OF THE JOB The Clinical Trainer and Auditor is responsible for planning, developing ... Prior experience in NCQA Surveys, CMS Program Audit, and/or AHCCCS Operational Review * Prior audit ...
PURPOSE OF THE JOB The Clinical Trainer and Auditor is responsible for planning, developing ... Prior experience in NCQA Surveys, CMS Program Audit, and/or AHCCCS Operational Review * Prior audit ...
PURPOSE OF THE JOB The Clinical Trainer and Auditor is responsible for planning, developing ... Prior experience in NCQA Surveys, CMS Program Audit, and/or AHCCCS Operational Review * Prior audit ...
Phoenix, AZ · On-site +1
PURPOSE OF THE JOB The Clinical Trainer and Auditor is responsible for planning, developing ... Prior experience in NCQA Surveys, CMS Program Audit, and/or AHCCCS Operational Review * Prior audit ...
Phoenix, AZ · On-site +1
PURPOSE OF THE JOB The Clinical Trainer and Auditor is responsible for planning, developing ... Prior experience in NCQA Surveys, CMS Program Audit, and/or AHCCCS Operational Review * Prior audit ...
What You'll Bring to the Team: * 3+ years of auditing, claims, review and/or billing experience ... Knowledge of CMS guidelines A plus if you have: * Experience in DRG validation. * Knowledge of ...
What You'll Bring to the Team: * 3+ years of auditing, claims, review and/or billing experience ... Knowledge of CMS guidelines A plus if you have: * Experience in DRG validation. * Knowledge of ...
Phoenix, AZ · Remote
$39.18 - $58.28/hr
... auditing plans to assess the compliance of Utilization, Quality, and Network Management departments with Federal and State regulations, including CMS, DMHC, and DHCS requirements, as well as NCQA ...
Phoenix, AZ · Remote
$39.18 - $58.28/hr
... auditing plans to assess the compliance of Utilization, Quality, and Network Management departments with Federal and State regulations, including CMS, DMHC, and DHCS requirements, as well as NCQA ...
... auditing plans to assess the compliance of Utilization, Quality, and Network Management departments with Federal and State regulations, including CMS, DMHC, and DHCS requirements, as well as NCQA ...
... auditing plans to assess the compliance of Utilization, Quality, and Network Management departments with Federal and State regulations, including CMS, DMHC, and DHCS requirements, as well as NCQA ...
Phoenix, AZ · Remote
$39.18 - $58.28/hr
... auditing plans to assess the compliance of Utilization, Quality, and Network Management departments with Federal and State regulations, including CMS, DMHC, and DHCS requirements, as well as NCQA ...
Phoenix, AZ · Remote
$39.18 - $58.28/hr
... auditing plans to assess the compliance of Utilization, Quality, and Network Management departments with Federal and State regulations, including CMS, DMHC, and DHCS requirements, as well as NCQA ...
Phoenix, AZ · On-site +1
$39.18 - $58.28/hr
... auditing plans to assess the compliance of Utilization, Quality, and Network Management departments with Federal and State regulations, including CMS, DMHC, and DHCS requirements, as well as NCQA ...
Phoenix, AZ · On-site +1
$39.18 - $58.28/hr
... auditing plans to assess the compliance of Utilization, Quality, and Network Management departments with Federal and State regulations, including CMS, DMHC, and DHCS requirements, as well as NCQA ...
Job Summary The Clinical Quality Compliance Auditor RN's overall purpose is to ensure that Summit ... CMS) and state continuous readiness through review of recent changes. - Develops and implements ...
Job Summary The Clinical Quality Compliance Auditor RN's overall purpose is to ensure that Summit ... CMS) and state continuous readiness through review of recent changes. - Develops and implements ...
... CMS Medicare Managed Care Manuals/regulations, applicable Medicaid rules and government contracts, including risk assessment, auditing and monitoring and corrective action oversight * Develop and ...
... CMS Medicare Managed Care Manuals/regulations, applicable Medicaid rules and government contracts, including risk assessment, auditing and monitoring and corrective action oversight * Develop and ...
... CMS Medicare Managed Care Manuals/regulations, applicable Medicaid rules and government contracts, including risk assessment, auditing and monitoring and corrective action oversight * Develop and ...
... CMS Medicare Managed Care Manuals/regulations, applicable Medicaid rules and government contracts, including risk assessment, auditing and monitoring and corrective action oversight * Develop and ...
$30.8K - $38.2K
2% of jobs
$38.2K - $45.7K
17% of jobs
$49.7K is the 25th percentile. Wages below this are outliers.
$45.7K - $53.2K
12% of jobs
$53.2K - $60.7K
11% of jobs
The median wage is $64.7K / yr.
$60.7K - $68.2K
17% of jobs
$68.2K - $75.7K
7% of jobs
$75.7K - $83.2K
6% of jobs
$83.2K - $90.7K
3% of jobs
$90.8K is the 75th percentile. Wages above this are outliers.
$90.7K - $98.2K
17% of jobs
$98.2K - $105.7K
4% of jobs
$105.7K - $113.2K
4% of jobs
$30.8K
$71.1K
$113.2K
A CMS Auditor is responsible for reviewing and assessing compliance with the Centers for Medicare & Medicaid Services (CMS) regulations. They conduct audits of healthcare organizations, insurance providers, or related entities to ensure adherence to policies, billing accuracy, and regulatory standards. Their role involves analyzing documentation, identifying non-compliance issues, and recommending corrective actions. Strong knowledge of healthcare laws, risk assessment, and auditing practices is essential for success in this role.
To thrive as a CMS Auditor, you need expertise in healthcare compliance, detailed knowledge of Centers for Medicare & Medicaid Services (CMS) regulations, and a background in auditing or healthcare administration. Familiarity with claims review software, electronic health records (EHR) systems, and relevant certifications such as Certified Professional Medical Auditor (CPMA) or Certified Internal Auditor (CIA) is highly valued. Strong analytical thinking, meticulous attention to detail, and effective communication skills are essential for working with healthcare providers and team members. These skills ensure accurate audit findings, regulatory compliance, and effective collaboration in the evolving healthcare landscape.
CMS Auditors often navigate the complexities of changing federal and state regulations as well as diverse healthcare billing practices, which can make audits both detailed and challenging. Staying current with regulatory updates, maintaining strong documentation habits, and leveraging audit management tools can help manage these challenges effectively. Regular training and open communication with providers and compliance teams also support accurate, efficient auditing. While the work can be demanding, it offers valuable opportunities to impact healthcare quality and prevent fraud, which many auditors find rewarding.
The most popular types of Cms Auditor jobs in Arizona are:
For Cms Auditor jobs in Arizona, the most frequently searched job titles are:
The top searched job categories for Cms Auditor jobs in Arizona are:
$80 - $100/hr
Other
Posted yesterday
New
We are seeking an experienced Quality Assurance Coder/Auditor with strong expertise in HCC coding, risk adjustment, and medical record auditing. The ideal candidate will have experience reviewing medical records, conducting QA audits, identifying coding deficiencies, and supporting provider education and risk mitigation initiatives.
Required5+ years of professional coding experience, 3+ years of HCC/risk adjustment experience, 2+ years of auditing/QA experience, and an active CCS-P, CRC, CPC, or COC certification.
ExperienceExperience with Medicare Advantage, RADV, HEDIS, CMS Star Ratings, and provider education is strongly preferred.
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Recruiting and staffing services
1 - 10 Employees
Indianapolis, IN, US
2003
