Case Auditor

📋 Description

• Conduct regular audits of care management records, documentation, and workflows to assess
• Review cases for accuracy, consistency, completeness, and adherence to healthcare quality and
• Identify trends, discrepancies, documentation gaps, and potential risks, providing clear and
• Develop and maintain audit tools, scorecards, tracking systems, and review methodologies that
• Collaborate with care management leadership to address audit findings and develop or implement
• Support the development and updating of care management policies, procedures, and training

🎯 Requirements

• High school diploma or GED required.
• 2–4 years of relevant professional experience required.
• Vocational or technical education and additional on-the-job or continuing education may be
• Experience with healthcare auditing, case management, quality assurance, or regulatory compliance
• Familiarity with NCQA, HEDIS, CMS, state healthcare guidelines, and related regulatory or
• Strong computer skills and the ability to work effectively with audit tools, documentation systems

🎁 Benefits

• Hourly pay range of $20.39–$34.71, with actual compensation adjusted based on skills, experience
• Comprehensive health insurance options.
• 401(k) and stock purchase plans.
• Tuition reimbursement.
• Paid time off and paid holidays.
• Flexible work approach with remote, hybrid, field, or office arrangements where applicable.