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Behavioral Health Auditor Remote Jobs (NOW HIRING)

VIVA USA INC

Behavioral Health Care Coordinator

TX · On-site +1

Remote Description: This position is responsible for ensuring accurate and timely engagement of behavioral health cases, assisting members on the telephone, reviewing medical records, reviewing cases ...

April Health

Behavioral Health Care Manager

Durham, NC · On-site +1

$53K - $58K/yr

Are you passionate about increasing access to behavioral health services? Have you worked in ... Remote work * Fantastic total rewards package, including health, vision, dental, etc. * Working ...

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Behavioral Health Auditor Remote information

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$33K

$76.3K

$121.5K

How much do behavioral health auditor remote jobs pay per year?

As of Jul 14, 2026, the average yearly pay for behavioral health auditor remote in the United States is $76,256.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,500.00 and $98,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Behavioral Health Auditor (Remote), and why are they important?

To thrive as a Behavioral Health Auditor (Remote), you need a strong background in behavioral health care, auditing principles, and regulatory compliance, typically supported by a relevant degree and auditing or clinical licensure. Familiarity with electronic medical records (EMRs), auditing software, and knowledge of standards such as HIPAA and NCQA are essential. Attention to detail, critical thinking, and effective written communication are vital soft skills for evaluating documentation and delivering clear feedback. These skills and qualifications ensure accurate audits, regulatory adherence, and continuous quality improvement in behavioral health organizations.

What is the difference between Behavioral Health Auditor Remote vs Behavioral Health Claims Reviewer?

AspectBehavioral Health Auditor RemoteBehavioral Health Claims Reviewer
Required CredentialsCertification in auditing or healthcare compliance, relevant licensesKnowledge of insurance policies, basic healthcare certifications
Work EnvironmentRemote, independent auditing tasks, data analysisRemote or onsite review of insurance claims, documentation
Employer & Industry UsageHealthcare organizations, insurance companies, government agenciesInsurance companies, third-party administrators, healthcare providers

Behavioral Health Auditor Remote and Behavioral Health Claims Reviewer roles both involve working with healthcare data remotely. Auditors focus on evaluating compliance and accuracy of behavioral health records, while claims reviewers primarily assess insurance claims for correctness. Both roles require knowledge of healthcare regulations and often share similar certifications, making them comparable in the behavioral health industry.

What are some common challenges faced by Behavioral Health Auditors working remotely, and how can they be addressed?

Behavioral Health Auditors working remotely often encounter challenges such as staying up-to-date with frequently changing regulatory requirements, maintaining clear communication with providers and internal teams, and ensuring data security when handling sensitive patient information. To address these challenges, auditors can participate in regular training sessions, use secure communication platforms, and establish consistent check-ins with team members. Proactively seeking clarification on documentation and fostering a collaborative virtual environment can also help maintain audit accuracy and team cohesion.

What is a Behavioral Health Auditor (Remote)?

A Behavioral Health Auditor (Remote) is a professional who reviews and evaluates behavioral health records, billing, and compliance documentation from a remote location. Their primary responsibility is to ensure that healthcare providers follow state, federal, and organizational guidelines in delivering behavioral health services. They check for accuracy in clinical documentation, adherence to coding standards, and the proper use of billing codes. By identifying discrepancies or areas for improvement, they help organizations maintain compliance and improve the quality of care.
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Behavioral Health Auditor Remote jobs near you
Senior Compliance Coding Auditor (REMOTE)

Senior Compliance Coding Auditor (REMOTE)

Central Health

Austin, TX • Remote

$27.50 - $31.25/hr

Full-time

Posted 4 days ago

Job description

This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis.


Essential Functions:

  • Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements.
  • Identify coding discrepancies and formulate suggestions for improvement.
  • Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas.
  • Work with medical staff department to identify and assist providers with coding.
  • Report findings and recommendations to compliance and executive leadership.
  • Provide continuing education to providers and ancillary staff on CPT/HCPCS and ICD-9/10 coding.
  • Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
  • Work closely with all departments, including but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, Rev Cycle, and Billing to assist in accuracy of reported services and with chart reviews, as requested.
  • Work with the purchasing department to order and distribute annual coding materials for all clinical sites and departments.
  • Advise Compliance Officer of government coding and billing guidelines and regulatory updates and work closely with department personnel to provide coding/compliance support.
  • Participate in the development and enhancement of EHR templates and programming and advise on coding compliance with payor guidelines.
  • Perform other duties as assigned.

Knowledge, Skills and Abilities:

  • Proficiency in correct application of CPT, HCPCS procedure and ICD-10-CM diagnosis codes used for coding and billing for medical claims. High
  • Knowledge of medical terminology, disease processes and pharmacology. 
  • Strong attention to detail and accuracy. 
  • Excellent verbal, written and communication skills. 
  • Ability to multi-task. 
  • Excellent organizational skills. 
  • Proficient in Microsoft Office Suite. 
  • Critical thinking/problem solving. 
  • Ability to provide data and recommend process improvement practices.

Education:

  • High School Diploma or equivalent (higher degree accepted) with 5 years of experience
  • Associates Degree (higher degree accepted)

Licenses/Certifications:

  • Certified Professional Coder (CPC®) through AAPC OR Certified Coding Specialist (CCS®) through American Health Information Management Association (AHIMA) required.

Required Work Experience:

  • 5 years Experience in a medical office or medical environment. 
  • 5 years Experience in procedural and diagnostic coding. 
  • 5 years Extensive knowledge of current trends in the industry based on Medicare and Texas Medicaid as well as national coding updates, such as AMA correct coding, nationally recognized coding references and/or appropriate list serves.
  • 5 years Extensive knowledge of Centers for Medicare & Medicaid (CMS) regulations.

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