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Clinical Auditor Jobs (NOW HIRING)

Independence Home Health

Auditing Assistant

IN · On-site

$18 - $19/hr

Reviews field staff documentation, at the direction of the Clinical Auditor, Clinical Manager, or Administrator, to determine completeness and compliance with Agency policy and procedures, State ...

RADcube

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Registered Nurse Clinical Auditor

Indianapolis, IN · Remote

$50K - $75K/yr

Registered Nurse Clinical Auditor - Junior Location: Remote with Occasional travel - Downtown Indianapolis, IN We are seeking a detail-oriented Registered Nurse to support medical record reviews ...

Molina Healthcare

Auditor, Clinical Services

Orlando, FL · On-site

$29.05 - $56.64/hr

Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality ...

Molina Healthcare

Auditor, Clinical Services

Tampa, FL · On-site

$29.05 - $56.64/hr

Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality ...

Molina Healthcare

Auditor, Clinical Services

Miami, FL · On-site

$29.05 - $56.64/hr

Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality ...

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Clinical Auditor information

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$38.5K

$92.8K

$151K

How much do clinical auditor jobs pay per year?

As of Aug 7, 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 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.

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.

More about Clinical Auditor jobs
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? The most popular types of Clinical Auditor jobs are:
What states have the most Clinical Auditor jobs? States with the most job openings for Clinical Auditor jobs include:
What job categories do people searching Clinical Auditor jobs look for? The top searched job categories for Clinical Auditor jobs are:
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, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.

RN, DRG Coder / Clinical Auditor

Pivotal Placement Services

Biloxi, MS • Remote

$95K - $105K/yr

Full-time

Posted 2 days ago

New

Job description

RN, DRG Coder / Clinical Auditor
Must be a Registered Nurse with experience

📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation & Coding

About the Role

We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for DRG assignments, helping improve billing accuracy, reimbursement, and compliance. You’ll work independently to review records, validate coding, and communicate findings clearly and professionally.

Key Responsibilities

  • Chart Review & Validation
    Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions.

  • Physician Documentation Review
    Confirm that physician notes and clinical indicators support assigned DRGs.

  • Audit & Compliance
    Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities.

  • Coding Expertise
    Apply ICD-10-CM and PCS coding guidelines, payer rules, and regulatory standards (Medicare, Medicaid, CMS).

  • Communication & Reporting
    Clearly document findings and communicate results in a professional and concise manner.

  • Other Duties
    Support additional documentation and coding-related tasks as assigned.

Qualifications
  • Licensure: RN
  • Experience:
    • Minimum 1 year of recent DRG auditing experience in a hospital or health plan setting.
    • Inpatient ICD-10 coding experience required.
    • CDI candidates are encouraged to apply.
  • Certifications:
    • National coding certification through AHIMA (preferred) or AAPC.
    • CCS or CIC strongly preferred.
  • Technical Skills:
    • Proficient in MS and APR DRG methodology.
    • Familiarity with Coding Clinic citations and Official Coding Guidelines.
    • Strong understanding of Medicare/CMS documentation requirements.
  • Soft Skills:
    • Exceptional attention to detail.
    • Strong problem-solving and critical thinking abilities.
    • Effective verbal and written communication.
    • Ability to work independently in a fast-paced, production-driven environment.
  • Tools:
    • Proficient in Microsoft Office Suite.
Compensation

💵 Pay Range: $90,000 – $104,841
Salary is based on location, experience, qualifications, and internal equity. Final compensation may vary depending on assessment during the interview process.

Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals—from staff to leadership—with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.