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Case Auditor Jobs (NOW HIRING)

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

Completion of a coding program from other licensing bodies shall be accepted on a case by case ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...

Fairfax County

Auditor III

Fairfax, VA · Hybrid

$80K - $141K/yr

... and case histories. Conducts sensitive interviews/field investigations to gather pertinent ... Plus, three years of professional experience in auditing or accounting. CERTIFICATES AND LICENSES ...

Fairfax County, VA

Auditor III

Fairfax, VA · On-site

$80K - $141K/yr

... and case histories. Conducts sensitive interviews/field investigations to gather pertinent ... Plus, three years of professional experience in auditing or accounting. CERTIFICATES AND LICENSES ...

Moody's

Night Auditor

Round Rock, TX · On-site

$14 - $18.50/hr

Night Auditor Position US: The Element Austin Round Rock, managed by Moody National Management LP ... and on a case-by-case basis. Work Environment: This job operates in a professional office ...

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Case Auditor information

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$30.5K

$72.6K

$117.5K

How much do case auditor jobs pay per year?

As of Aug 16, 2026, the average yearly pay for case auditor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What is a case auditor?

Case Auditors are professionals who review and evaluate case files, records, or processes to ensure accuracy, compliance, and quality. They often work in legal, healthcare, insurance, or social services settings, where they check that cases are handled according to established standards and regulations. Their work helps identify errors, inefficiencies, or areas for improvement, contributing to better organizational performance. Case Auditors may also provide feedback or recommendations based on their findings to support quality assurance initiatives.

What are the key skills and qualifications needed to thrive as a case auditor, and why are they important?

To thrive as a Case Auditor, you need strong analytical skills, attention to detail, and a solid understanding of compliance regulations, often supported by a background in accounting, auditing, or a related field. Familiarity with audit management software, database systems, and relevant certifications such as Certified Internal Auditor (CIA) are typically required. Exceptional organizational, communication, and critical thinking skills help auditors effectively review cases and report findings. These competencies are crucial for ensuring accurate assessments, maintaining regulatory compliance, and supporting organizational integrity.

What are some common challenges faced by case auditors, and how can they be addressed?

Case Auditors often encounter challenges such as managing large caseloads, staying current with regulatory changes, and ensuring thorough documentation. Balancing accuracy with efficiency can be demanding, especially when deadlines are tight. To address these challenges, it's important to develop strong organizational skills, keep up with ongoing training, and maintain open communication with team members and stakeholders. Collaborating with colleagues and leveraging auditing tools can also help streamline workflows and ensure high-quality results.

What is the difference between Case Auditor vs Claims Processor?

AspectCase AuditorClaims Processor
Required CredentialsTypically requires a background in insurance, auditing, or related certificationsOften requires knowledge of claims processing systems and insurance policies
Work EnvironmentOffice setting, reviewing cases, auditing claims for accuracyOffice environment, processing insurance claims and data entry
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers, government agencies
Comparison Search IntentUnderstanding auditing roles in claims reviewLearning about claims processing tasks

The main difference between a Case Auditor and a Claims Processor lies in their focus. A Case Auditor reviews and verifies insurance claims for accuracy and compliance, often performing audits and quality checks. In contrast, a Claims Processor handles the initial processing of claims, entering data, and ensuring claims are correctly submitted. Both roles are essential in the insurance industry but serve different stages of the claims management process.

More about Case Auditor jobs

What job categories do people searching Case Auditor jobs look for?

The top searched job categories for Case Auditor jobs are:

Case Auditor jobs near you
Infographic showing various Case Auditor job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 79% Full Time, 16% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Coding Educator/Auditor

University Health

San Antonio, TX • On-site

$25.10 - $40.25/hr

Full-time

Re-posted 28 days ago

University Of Nevada (Reno) rating

8.5

Company rating: 8.5 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

80th of 618 rated colleges and universities

Job description

Now Hiring - Coding Educator & Auditor Revenue Integrity
University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking for a talented health professional to join our team as a Coding Educator & Auditor for our Revenue Integrity departmentThis is an exciting opportunity to join a company with a reputation for exceptional service and patient care.
The Position:
Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper assignment and completion of Diagnosis and Procedure Coding on all cases. Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System's guest relations' policy. Complies with all Federal, State, local and accrediting bodies' regulations and protocols. Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).
Duties:
  • Communicates and interacts positively and professionally throughout all levels of the organization, and with external customers. Consistently demonstrates the ability to communicate with strong analytical, problem solving and critical thinking skills.
  • Provides onsite and remote quality assurance reviews/audits with appropriate compliance with governmental and payer regulations.
  • Provides and monitors instructions/education provided to Providers, Coding, Risk, CDI, and Quality team members involved with the coding processes.
  • Implements Coding Education programs for professional and facility Service lines, including ongoing assessment, metrics and dashboards.
  • Prepares departmental coding and denial progress reports.
  • Performs other related duties as assigned.

Qualifications:
Associate's degree in Health Information Management and/or Bachelor's degree is preferred. Completion of a coding program is required. [Note: Completion of a coding program from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPCS) will be accepted. Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding.] At least five (5) years of coding experience in professional services, hospital services, or a combination of both is required for external applicants. At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software is required. Preference will be given to applicants with experience and knowledge of regulatory requirements, Microsoft Office products, and Epic EMR.
LICENSURE/CERTIFICATION:
The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies mentioned above (AHIMA and AAPC). [Note: Valid credential(s) from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) will be accepted. Credential(s) from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding]. Licensure as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Registered Nurse(s) (RN) are highly preferred.
Why Should You Apply?
  • We offer exceptional pay and opportunities for advancement.
  • Continuing Education
  • Gym membership discounts
  • Comprehensive benefits package including pet insurance

Apply today! Don't miss out on this great opportunity.

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