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Remote Quality Auditor Jobs in Arizona (NOW HIRING)

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

KBR

Remote Special Process Auditor

Phoenix, AZ · Remote

Program Summary Remote Special Process Quality Auditor will have experience in auditing globally diverse teams, communicating with senior management, managing challenging customer issues, leveraging ...

YO AI Labs

Medical Auditor - Remote

Phoenix, AZ · Remote

$50 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Quality Assurance * Written & Verbal Communication Preferred Qualifications * 10+ years of ...

YO AI Labs

Medical Auditor - Remote

Phoenix, AZ · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

Columbia Banking System, Inc.

Senior IT Auditor

Phoenix, AZ · On-site +1

$93K - $122K/yr

Deliver high quality results, on-time, within budget expectations, and in conformity with ... Proven commitment to continuous learning, ability to work as part of a team using remote ...

Columbia Banking System, Inc.

Senior IT Auditor

Phoenix, AZ · On-site +1

$93K - $122K/yr

Deliver high quality results, on-time, within budget expectations, and in conformity with ... Proven commitment to continuous learning, ability to work as part of a team using remote ...

Arizona Department of Administration

$54K - $58K/yr

REMOTE OPTIONS, PHOENIX Categories: Accounting/Auditing, Skilled Trades/Crafts ARIZONA DEPARTMENT ... These functions support the Agency's mission to maintain standards of quality and safety for the ...

YO AI Labs

Autodesk Fusion 360 Expert - Remote

Phoenix, AZ · On-site +1

$40 - $120/hr

Review and audit CAD models for dimensional accuracy, GD&T compliance, and overall design quality ... Mechanical Assembly Modeling * CAD Model Auditing * Reverse Engineering * Manufacturing Processes ...

YO AI Labs

Autodesk Inventor Expert - Remote

Phoenix, AZ · On-site +1

$30 - $120/hr

... quality. * Create, interpret, and validate detailed engineering drawings in accordance with ASME ... model auditing. * CAD automation and scripting (Python, iLogic, VBA, NX Open). * Technical ...

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Remote Quality Auditor information

What is a remote quality auditor?

A Remote Quality Auditor is a professional responsible for evaluating and ensuring that a company's processes, products, or services meet established quality standards, but they perform these tasks from a remote location rather than on-site. This role often involves reviewing documentation, conducting virtual audits, analyzing data, and providing feedback for improvement. Remote Quality Auditors work across various industries, including healthcare, manufacturing, and customer service, utilizing digital tools to monitor compliance and quality assurance. Their work helps organizations maintain high standards and comply with regulations, even when in-person inspections are not possible.

What skills and qualifications are needed to be a remote quality auditor?

A Remote Quality Auditor needs a strong understanding of quality assurance principles, attention to detail, and relevant industry experience, often supported by a degree in business, healthcare, or a related field. Familiarity with audit management software, data analysis tools, and relevant certifications such as Certified Quality Auditor (CQA) are commonly required. Excellent communication, critical thinking, and the ability to work independently are crucial soft skills for remote collaboration and effective reporting. These skills ensure accurate, efficient audits and uphold organizational standards, even when working remotely.

What are common challenges faced by remote quality auditors, and how can they be overcome?

Remote Quality Auditors often encounter challenges such as limited access to on-site documentation, communication barriers with team members across different time zones, and ensuring compliance without in-person oversight. To overcome these, it is essential to leverage digital audit tools, maintain organized records, and establish clear communication channels with stakeholders. Proactively scheduling regular virtual check-ins and using collaborative platforms can also help maintain alignment and address any issues promptly.

What is the difference between Remote Quality Auditor vs Remote Quality Control Inspector?

AspectRemote Quality AuditorRemote Quality Control Inspector
CredentialsCertifications like ASQ CQE or CQI often preferredCertifications may include quality inspection or industry-specific credentials
Work EnvironmentPrimarily office-based or remote, focusing on audits and documentationRemote or on-site, focusing on inspecting products or processes
Industry UsageUsed across manufacturing, healthcare, and service industries for compliance checksCommon in manufacturing and production for product quality verification
Job FocusEvaluating compliance, auditing processes, and documentationInspecting products, materials, or processes for defects or standards

While both roles focus on quality, Remote Quality Auditors primarily evaluate compliance through audits and documentation, often remotely, whereas Remote Quality Control Inspectors focus on inspecting products or processes for defects, which may involve remote or on-site work. Both roles require similar certifications and are vital in maintaining quality standards across industries.

What are the most commonly searched types of Quality Auditor jobs in Arizona?

The most popular types of Quality Auditor jobs in Arizona are:

What are popular job titles related to Remote Quality Auditor jobs in Arizona?

For Remote Quality Auditor jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Remote Quality Auditor jobs in Arizona look for?

The top searched job categories for Remote Quality Auditor jobs in Arizona are:

Remote Quality Auditor jobs near you
Infographic showing various Remote Quality Auditor job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, 2% Temporary, 3% Contract, and 1% Nights. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution.

Auditor, Risk Adjustment

Oscar Health

Tempe, AZ • Remote

$82K - $108K/yr

Full-time

Re-posted 23 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

260th of 311 rated insurance

Job description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
  • Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
  • Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
  • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
  • Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
  • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
  • Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
  • Manage the implementation process improvements that will maximize risk adjustment factor increases.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Bachelor's degree in a relevant field of study or commensurate work experience.
  • Certified professional coder (CPC)
  • 3+ year(s) retrospective risk adjustment coding experience.
  • 1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

  • Certified Risk Adjustment Coder (CRC) or similar certification
  • Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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