Quality Auditor

Medica

. Audit claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures .

Posted 9/15/2026full-timeRemote • Arizona • United StatesMid-LevelSenior💰 $45,900 - $68,775 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Claims Auditing and Compliance, with a strong focus on coding accuracy and process improvement. Possesses excellent analytical skills and the ability to work independently or collaboratively in a fast-paced environment.

Highest-signal resume keywords

Claims AuditingQuality AuditingAttention To DetailAnalytical Problem SolvingStrong Verbal And Written Communication

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingCoding AccuracyContract InterpretationComplianceProcess Improvement

Soft Skills

Organizational SkillsPrioritizing SkillsAdaptabilityFlexibilityTeam Collaboration

Industry Keywords

Call Center ComplianceAuditPolicies And ProceduresDeadlinesIndependent Functioning

About the role

Key responsibilities & impact

Audit claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures
Gather findings at a macro level
Make recommendations for process improvements and efficiencies
Perform professional responsibilities under direct supervision regarding methods and processes
Perform other assigned duties

Requirements

What you’ll need

Bachelor's degree or equivalent experience in related field
Previous experience within Call Center Compliance and/or Quality Auditing, Claims Audit and/or Claims Processing required
Excellent attention to detail
Ability to meet deadlines
Ability to function independently and in a team environment
Strong organizational and prioritizing skills
Excellent analytical/problem solving ability
Strong verbal and written communication skills
Adaptability and flexibility in a changing environment
Primary home address must be in a state where Medica is registered as an employer: Arkansas, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Kentucky, Michigan, Minnesota, Missouri, North Dakota, Nebraska, Oklahoma, South Dakota, Tennessee, Texas, Virginia, or Wisconsin
Must be legally authorized to work in the United States at the time of application
Medica does not offer work visa sponsorship for this role

Benefits

Comp & perks

Competitive medical, dental, and vision benefits
Paid time off (PTO)
Paid holidays
Paid volunteer time off
401(k) contributions
Caregiver services
Other benefits included in a generous total rewards package