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Clinical Performance Auditor Jobs (NOW HIRING)

Elevance Health

DRG Clinical Auditor Principal

Mason, OH · On-site

$122K - $183K/yr

The DRG Clinical Auditor Principal is responsible for auditing inpatient medical records on claims ... in the performance of medical audit activities. * Draws on extremely advanced ICD-10 coding ...

Elevance Health

DRG Clinical Auditor Principal (US)

Mason, OH · On-site

$25.75 - $29.25/hr

... Clinical Auditor Principal is responsible for auditing inpatient medical records on claims paid ... in the performance of medical audit activities. * Draws on extremely advanced ICD-10 coding ...

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How much do clinical performance auditor jobs pay per year?

As of Sep 13, 2026, the average yearly pay for clinical performance auditor in the United States is $96,238.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,000.00 and $109,500.00 per year, depending on experience, location, and employer.

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Infographic showing various Clinical Performance Auditor job openings in the United States as of June 2026, with employment types broken down into 17% As Needed, 8% Full Time, and 75% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $96,238 per year, or $46.3 per hour.

Clinical Auditor II

Farmington, NM • On-site

San Juan Regional Medical Center
See more jobs at San Juan Regional Medical Centerexternal

Full-time

Re-posted 13 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

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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