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Clinical Auditor Jobs (NOW HIRING)

Elevance Health

DRG Clinical Auditor Principal

Mason, OH · On-site

$122K - $183K/yr

DRG Clinical Auditor Principal Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · Remote

$63K - $95K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · Remote

$70K - $107K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · Remote

$63K - $95K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · Remote

$70K - $107K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · On-site

$63K - $95K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · On-site

$70K - $107K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

CERiS

Clinical Review QC Auditor

Fort Worth, TX · On-site +1

$68K - $104K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

CERiS

Clinical Review QC Auditor

$68K - $104K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · On-site

$70K - $107K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

CERiS

Clinical Review QC Auditor

Fort Worth, TX · Remote

$68K - $104K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · On-site

$63K - $95K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

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How much do clinical auditor jobs pay per year?

As of Aug 29, 2026, the average yearly pay for clinical auditor in the United States is $92,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What is a clinical auditor?

A Clinical Auditor is responsible for reviewing and evaluating clinical processes, medical records, and healthcare services to ensure compliance with regulatory standards and best practices. They assess the quality of patient care, identify areas for improvement, and recommend corrective actions to enhance efficiency and safety. Clinical Auditors work closely with healthcare professionals to maintain high standards and ensure adherence to policies and procedures. Their role helps improve patient outcomes, reduce risks, and support continuous quality improvement initiatives.

What are some common challenges faced by clinical auditors and how are they addressed?

Clinical Auditors often encounter challenges such as navigating complex medical records, staying current with ever-evolving regulations, and ensuring consistent compliance across diverse departments or facilities. To address these, auditors rely on up-to-date training, collaboration with clinical staff, and the use of advanced audit tools to streamline their review processes. Strong communication and problem-solving skills are key to overcoming obstacles and providing valuable feedback. Many organizations also support auditors through ongoing education and access to collaborative team environments, empowering them to maintain high standards and achieve audit objectives efficiently.

What are the key skills and qualifications needed to thrive in the clinical auditor position, and why are they important?

To thrive as a Clinical Auditor, you need a solid background in healthcare, data analysis, and clinical documentation review, often supported by a nursing, medical, or health information management qualification. Familiarity with audit management software, electronic health records (EHRs), and compliance standards such as HIPAA or Joint Commission requirements is commonly expected. Attention to detail, strong organizational skills, and the ability to communicate findings effectively with multidisciplinary teams are valuable soft skills. These competencies ensure that audits are accurate, regulatory standards are met, and opportunities for quality improvement are clearly communicated and implemented.

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What cities are hiring for Clinical Auditor jobs?

Cities with the most Clinical Auditor job openings:

What are the most commonly searched types of Clinical Auditor jobs?

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Clinical Auditor jobs near you
Infographic showing various Clinical Auditor job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 74% Full Time, 15% Part Time, and 8% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.

Clinical Auditor II

San Juan Regional Medical Center

Farmington, NM • On-site

Full-time

Re-posted 27 days ago

San Juan Regional Medical Center rating

6.4

Company rating: 6.4 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

751st of 1,064 rated hospitals

Job description

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider-we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.The Clinical Auditor II abstracts and analyzes data from multiple sources to provide information to the organization which will be used to improve clinical quality. They are responsible for submitting data to CMS, reviewing and classifying safety events, performing staff interviews, and participating on safety improvement teams. The Clinical Auditor II is responsible for assisting as part of the facilitation team on formal improvement teams.

Required Behaviors:

  • As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.


Required Qualifications:

  • Master's Degree
  • Minimum of two (2) years' Acute Care clinical background (preferably LPN/RN)
  • Green Belt Certification
  • CPHQ Certification
  • Strong organizational skills
  • Strong analytical skills; be able to develop a consistent approach to data collection to ensure validity and reliability of data
  • Skilled in using Microsoft Word and Excel
  • Excellent customer service skills
  • Excellent communication skills
  • Proficient facilitation skills
  • Basic report writing skills
  • Identification and submission of two formal Process Improvement initiative proposals
  • Significant participation in two formal Process Improvement teams
  • Significant participation in two formal Root Cause Analysis

Duties and Responsibilities:

  • Gathers and inputs data for CMS Quality Measures and reports on findings
  • Performs monthly medical record and ad hoc audits, conducts analyses and creates subsequent reports (e.g., mortality, sepsis, etc.)
  • Collects data, maintains excel databases and creates reports/charts depicting the data
  • Uses various software/databases to create and analyze reports (e.g., Truven, Greeley, AS)
  • Attends and supports various committees which includes presenting reports, writing letters, and facilitating
  • Participates/facilitates on performance teams
  • Participates/facilitates on safety event reviews
  • Serves as a resource for staff related to quality improvement
  • Each caregiver is responsible for implementing SJRMC's Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship
  • Other duties as assigned

Physical Demands and Environmental Work Conditions:

  • Primarily office environment with daily inclusion in operational environments.
  • Prolonged sitting, standing, and/or walking.
  • Frequent interruptions.
  • Moderate noise level.

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