Quality Assurance Specialist Jobs in Arizona
Quality Assurance Specialist jobs in Arizona are consistently active, with strong demand concentrated in aerospace and defense, semiconductor manufacturing, medical devices, and food and beverage production, and openings at every level from entry-level inspector through senior QA engineer. Phoenix, Tucson, and Chandler are the primary hiring centers, where employers such as Honeywell, Intel, and Banner Health maintain significant operations and ongoing quality assurance needs. Software quality assurance, regulatory compliance, and manufacturing quality control are the specialties drawing the most consistent interest from Arizona employers. Find a role that fits below and apply directly.
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Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
Onsite: daily onsite requirement based on the essential functions of the job
Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation, . This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation.
The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience for provider education.
The Quality Assurance Coder/Auditor will perform medical record reviews and abstract codes - to the highest specificity effectively from medical records based on the documentation provided. Coder/Auditor is responsible for ensuring diagnosis codes selected come from a face-to-face visit with a valid Risk Adjustable provider. Coder/Auditor will perform QA for vendors and other submitters of supplemental HCC data and provide educational feedback relevant to same.
REQUIRED QUALIFICATIONS
Required Work Experience
- 5 years of professional coding experience, with at least 3 years of HCC coding experience, and 2 years of HCC auditing experience. Advanced knowledge of coding guidelines
Required Education
- High School Diploma or GED in general field of study
Required Licenses
- N/A
Required Certifications
- Certified Coding Specialist – Physician Based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Outpatient Coding (COC) credential
PREFERRED QUALIFICATIONS
Preferred Work Experience
- 5 years of Medicare Advantage health plan experience
- 5 years of experience with HEDIS measures and/or the CMS Star Program
Preferred Education
- N/A
Preferred Licenses
- Clinical training (Medical Assistant, Registered Nurse, Licensed Practical Nurse, or Certified Nursing Assistant)
- Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA)
Preferred Certifications
- Certified Documentation Expert Outpatient (CDEO)Certified Professional Medical Auditor (CPMA)
ESSENTIAL JOB FUNCTIOSN AND RESPONSIBILITIES
- Demonstrate comprehensive understanding of HCC Coding rules, regulations, methodology and the role of hierarchies
- Review medical records and supporting documentation, determine completeness and accuracy of medical records and supporting documentation, identify and eliminate barriers to correct coding, and recommend best coding practices and improvements
- Determine valid encounters, including face-to-face, legibility and valid signature, according to Medicare Managed Care requirements
- Perform QA audits on vendor and provider group supplemental data submissions. Provide corrective action recommendations when accuracy scores fall below 95%
- Track QA audits and send out monthly updates to Vendor and management team. Updates include report findings and recommendations regarding closing healthcare gaps, medical record documentation, coding, and additional educational training to management.
- Develop effective provider/coder education program in support of risk mitigation analysis. This includes writing education tips for BCBSAZ publications and preparing materials for presentation during Zoom calls
- Correct encounter rejections within vendor platform
- Maintain current knowledge of the Medicare Managed Care Manual, Chapter 7 - Risk Adjustment and Medicare outpatient billing systems/processes
- Maintain coding certification, and stay current with the numerous changes in risk adjustment methodologies
- The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
- Perform all other duties as assigned.
REQUIRED COMPETENCIES
Required Job Skills
- Excellent understanding of the CMS crosswalk of ICD diagnosis codes to Hierarchical Condition Category (HCC) codes and impact of diagnosis coding on risk adjustment payment models
- Sufficient knowledge of anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses according to CMS and ICD-10 coding guidelines
- General knowledge of the provisions contained in Chapter 7 – Risk Adjustment, Medicare Managed Care Manual
- Computer proficiency in an MS-Windows environment, including MS Word, Excel, and Powerpoint, and ability to learn organizational systems and software applications
- Strong writing skills
- Computer proficiency in MS Word
- Ability to prepare and present PowerPoint slides
- Ability to create Excel spreadsheets and perform basic functions in Excel
-
Ability to learn organizational systems and software applications
- Basic knowledge and understanding of primary care provider office practices, electronic and manual medical record systems, and billing processes
Required Professional Competencies
- Ability to develop training materials and conduct educational training to close healthcare gaps, improve medical record documentation, and ensure complete and accurate coding
- Ability to identify and effectively communicate medical record documentation and/or correct coding deficiencies to providers and their staff
Required Leadership Experience and Competencies
- N/A
PREFERRED COMPETENCIES
Preferred Job Skills
- Strong understanding of the Risk Adjustment Validation Audit (RADV) process for risk adjustment models
- Pharmacology knowledge
Preferred Professional Competencies
- N/A
Preferred Leadership Experience and Competencies
- N/A
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
Onsite: daily onsite requirement based on the essential functions of the job
Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation, . This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation.
The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience for provider education.
The Quality Assurance Coder/Auditor will perform medical record reviews and abstract codes - to the highest specificity effectively from medical records based on the documentation provided. Coder/Auditor is responsible for ensuring diagnosis codes selected come from a face-to-face visit with a valid Risk Adjustable provider. Coder/Auditor will perform QA for vendors and other submitters of supplemental HCC data and provide educational feedback relevant to same.
REQUIRED QUALIFICATIONS
Required Work Experience
- 5 years of professional coding experience, with at least 3 years of HCC coding experience, and 2 years of HCC auditing experience. Advanced knowledge of coding guidelines
Required Education
- High School Diploma or GED in general field of study
Required Licenses
- N/A
Required Certifications
- Certified Coding Specialist – Physician Based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Outpatient Coding (COC) credential
PREFERRED QUALIFICATIONS
Preferred Work Experience
- 5 years of Medicare Advantage health plan experience
- 5 years of experience with HEDIS measures and/or the CMS Star Program
Preferred Education
- N/A
Preferred Licenses
- Clinical training (Medical Assistant, Registered Nurse, Licensed Practical Nurse, or Certified Nursing Assistant)
- Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA)
Preferred Certifications
- Certified Documentation Expert Outpatient (CDEO)Certified Professional Medical Auditor (CPMA)
ESSENTIAL JOB FUNCTIOSN AND RESPONSIBILITIES
- Demonstrate comprehensive understanding of HCC Coding rules, regulations, methodology and the role of hierarchies
- Review medical records and supporting documentation, determine completeness and accuracy of medical records and supporting documentation, identify and eliminate barriers to correct coding, and recommend best coding practices and improvements
- Determine valid encounters, including face-to-face, legibility and valid signature, according to Medicare Managed Care requirements
- Perform QA audits on vendor and provider group supplemental data submissions. Provide corrective action recommendations when accuracy scores fall below 95%
- Track QA audits and send out monthly updates to Vendor and management team. Updates include report findings and recommendations regarding closing healthcare gaps, medical record documentation, coding, and additional educational training to management.
- Develop effective provider/coder education program in support of risk mitigation analysis. This includes writing education tips for BCBSAZ publications and preparing materials for presentation during Zoom calls
- Correct encounter rejections within vendor platform
- Maintain current knowledge of the Medicare Managed Care Manual, Chapter 7 - Risk Adjustment and Medicare outpatient billing systems/processes
- Maintain coding certification, and stay current with the numerous changes in risk adjustment methodologies
- The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
- Perform all other duties as assigned.
REQUIRED COMPETENCIES
Required Job Skills
- Excellent understanding of the CMS crosswalk of ICD diagnosis codes to Hierarchical Condition Category (HCC) codes and impact of diagnosis coding on risk adjustment payment models
- Sufficient knowledge of anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses according to CMS and ICD-10 coding guidelines
- General knowledge of the provisions contained in Chapter 7 – Risk Adjustment, Medicare Managed Care Manual
- Computer proficiency in an MS-Windows environment, including MS Word, Excel, and Powerpoint, and ability to learn organizational systems and software applications
- Strong writing skills
- Computer proficiency in MS Word
- Ability to prepare and present PowerPoint slides
- Ability to create Excel spreadsheets and perform basic functions in Excel
-
Ability to learn organizational systems and software applications
- Basic knowledge and understanding of primary care provider office practices, electronic and manual medical record systems, and billing processes
Required Professional Competencies
- Ability to develop training materials and conduct educational training to close healthcare gaps, improve medical record documentation, and ensure complete and accurate coding
- Ability to identify and effectively communicate medical record documentation and/or correct coding deficiencies to providers and their staff
Required Leadership Experience and Competencies
- N/A
PREFERRED COMPETENCIES
Preferred Job Skills
- Strong understanding of the Risk Adjustment Validation Audit (RADV) process for risk adjustment models
- Pharmacology knowledge
Preferred Professional Competencies
- N/A
Preferred Leadership Experience and Competencies
- N/A
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
See All 50 Quality Assurance Specialist Jobs in Arizona
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Find JobsQuality Assurance Specialist Jobs by City in Arizona
Where Arizona roles are concentrated, by current openings.
Quality Assurance Specialist Job Market in Arizona
A snapshot from current Arizona openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Technology & Software
- Consulting & Professional Services
- Electronics & Hardware
- Insurance
- Manufacturing
What Arizona Employers Look For
The qualifications that appear most often in quality assurance specialist jobs across Arizona.
- Bachelor's degree in engineering, life sciences, or a related technical field preferred
- Familiarity with ISO 9001, AS9100, or FDA 21 CFR quality management standards
- Experience using statistical process control tools and quality management software
- ASQ Certified Quality Auditor or Certified Quality Engineer credential valued
- Proficiency in root cause analysis, CAPA processes, and corrective action documentation
- Strong written communication skills for preparing audit reports and nonconformance records
Quality Assurance Specialist Jobs in Arizona: Frequently Asked Questions
How do you become a quality assurance specialist in Arizona?
Most quality assurance specialist roles in Arizona require a bachelor's degree in engineering, biology, chemistry, or a closely related field, though candidates with an associate degree and substantial hands-on manufacturing or laboratory experience are competitive for technician-level positions. Arizona does not issue a state-specific QA license, but employers in aerospace, medical devices, and food production strongly favor candidates who hold American Society for Quality credentials such as the Certified Quality Auditor or Certified Quality Technician, which require passing an exam administered by ASQ.
Which companies hire quality assurance specialists in Arizona?
Employers hiring quality assurance specialists in Arizona right now include DHL, Blue Spire, and State of Arizona, based on current listings on Migrate Mate as of August 2026. Arizona's concentration of aerospace, semiconductor, and healthcare manufacturers means quality roles here tend to require familiarity with industry-specific standards such as AS9100 or FDA regulations.
Which Arizona cities have the most quality assurance specialist jobs?
The cities with the most quality assurance specialist openings in Arizona are Phoenix, Mesa, and Tempe. Phoenix dominates volume as the metro home to major aerospace, medical device, and technology employers, while Tucson's defense and optics manufacturing base and Chandler's semiconductor corridor, anchored by Intel's fabrication campus, generate consistent demand for quality assurance professionals in those surrounding areas.
Are there remote quality assurance specialist jobs in Arizona?
Yes, but they're limited, because quality assurance work often requires physical inspection of products, auditing of production lines, or on-site regulatory oversight. About 25% of quality assurance specialist openings tied to Arizona are remote or hybrid as of August 2026, and those positions tend to involve software quality assurance, documentation review, supplier auditing coordination, or quality management system administration rather than hands-on inspection.
How can I get hired as a quality assurance specialist in Arizona with little or no experience?
The most realistic entry path is a quality technician or quality inspector role, which Arizona manufacturers in food production, electronics assembly, and medical devices regularly fill with candidates who have a relevant associate degree or hands-on coursework. Large Arizona employers such as Microchip Technology and Henkel run structured onboarding programs for quality technicians, and gaining an ASQ Certified Quality Process Analyst credential before applying strengthens an application considerably. Lateral moves from production operator, laboratory assistant, or supply chain coordinator roles are common stepping-stones Arizona hiring managers recognize.
Where can I find and apply to quality assurance specialist jobs in Arizona?
You can find and apply to quality assurance specialist jobs in Arizona on Migrate Mate, which lists current openings across the state. Search the listings, find roles that match your background and target industry, and apply directly to the ones that fit.
See All 50 Quality Assurance Specialist Jobs in Arizona
Find roles in Arizona that match your experience and apply in just a few clicks.
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