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Cms Auditor Jobs in Michigan (NOW HIRING)

Huron Consulting Group

Inpatient Coding Auditor

Detroit, MI · Remote

$38.46 - $52.40/hr

... CMS) ICD-PCS Official Guidelines for Coding and Reporting * American Hospital Association (AHA ... Coding Auditing Productivity: 95% * DRG Accuracy Rate 95% * Coding Accuracy: 95% * Query Compliance ...

Huron Consulting Group

$38.46 - $52.40/hr

... CMS) ICD-PCS Official Guidelines for Coding and Reporting * American Hospital Association (AHA ... Coding Auditing Productivity: 95% * DRG Accuracy Rate 95% * Coding Accuracy: 95% * Query Compliance ...

Huron Consulting Group

$26.44 - $52.40/hr

The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of ... CMS) ICD-CM Official Guidelines for Coding and Reporting American Hospital Association (AHA) Coding ...

New

CMS Energy, Corp.

Sr Internal Auditor

Jackson, MI · On-site

$85 - $120/hr

The Senior Internal Auditor is responsible for executing risk-based internal audits, Sarbanes-Oxley ... We, at CMS Energy, value Diversity, Equity, & Inclusion. It is part of our DNA. We treat our ...

New

US IT Solutions Inc

IT Security Auditor

Lansing, MI · On-site

... IRS, CMS, PCI and CJIS security requirements to NIST Baseline controls 5. Document LockPath process design including business and security requirements 6. Identify and design reports within the ...

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Cms Auditor information

See Michigan salary details

$28.8K

$66.5K

$105.9K

How much do cms auditor jobs pay per year?

As of Sep 5, 2026, the average yearly pay for cms auditor in Michigan is $66,464.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,600.00 and $85,900.00 per year, depending on experience, location, and employer.

What is a CMS auditor?

A CMS Auditor is responsible for reviewing and assessing compliance with the Centers for Medicare & Medicaid Services (CMS) regulations. They conduct audits of healthcare organizations, insurance providers, or related entities to ensure adherence to policies, billing accuracy, and regulatory standards. Their role involves analyzing documentation, identifying non-compliance issues, and recommending corrective actions. Strong knowledge of healthcare laws, risk assessment, and auditing practices is essential for success in this role.

What are the key skills and qualifications needed to thrive as a CMS auditor?

To thrive as a CMS Auditor, you need expertise in healthcare compliance, detailed knowledge of Centers for Medicare & Medicaid Services (CMS) regulations, and a background in auditing or healthcare administration. Familiarity with claims review software, electronic health records (EHR) systems, and relevant certifications such as Certified Professional Medical Auditor (CPMA) or Certified Internal Auditor (CIA) is highly valued. Strong analytical thinking, meticulous attention to detail, and effective communication skills are essential for working with healthcare providers and team members. These skills ensure accurate audit findings, regulatory compliance, and effective collaboration in the evolving healthcare landscape.

What are some common challenges faced by CMS auditors, and how can they be managed?

CMS Auditors often navigate the complexities of changing federal and state regulations as well as diverse healthcare billing practices, which can make audits both detailed and challenging. Staying current with regulatory updates, maintaining strong documentation habits, and leveraging audit management tools can help manage these challenges effectively. Regular training and open communication with providers and compliance teams also support accurate, efficient auditing. While the work can be demanding, it offers valuable opportunities to impact healthcare quality and prevent fraud, which many auditors find rewarding.

Is a CMS auditor a good career path?

A CMS auditor is a role focused on reviewing healthcare billing and coding compliance with Centers for Medicare & Medicaid Services regulations. It offers opportunities in healthcare compliance, auditing, and risk management, often requiring knowledge of healthcare laws, coding systems, and auditing tools. The career can be stable and rewarding for those interested in healthcare regulation and quality assurance.

What are the most commonly searched types of Cms Auditor jobs in Michigan?

The most popular types of Cms Auditor jobs in Michigan are:

What are popular job titles related to Cms Auditor jobs in Michigan?

For Cms Auditor jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Cms Auditor jobs in Michigan look for?

The top searched job categories for Cms Auditor jobs in Michigan are:

Cms Auditor jobs near you
Infographic showing various Cms Auditor job openings in Michigan as of August 2026, with employment types broken down into 3% As Needed, 78% Full Time, 13% Part Time, 2% Temporary, 3% Contract, and 1% Nights. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $66,464 per year, or $32 per hour.

Certified Medical Auditor

Beyond Podiatry

Chesterfield, MI • On-site

Full-time

Posted 21 days ago

Job description

Description:

A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations.

Key Responsibilities:

Medical Documentation Review:

  • Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation.
  • Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information.
  • Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and compliance with healthcare regulations (e.g., HIPAA, Medicare, Medicaid).

Compliance Assessment:

  • Evaluate medical documentation for compliance with industry standards, hospital policies, and governmental regulations.
  • Assess policy adherence and procedural efficiency, upholding data integrity through audits and scrutinizing a range of medical documentation.
  • Identify and report any discrepancies or potential compliance issues, recommending corrective actions as needed.

Billing and Claims Audit:

  • Analyze medical claims data and associated documentation by conducting continuous auditing with analyses to prevent and address discrepancies and non-conformities in billing and provider chart documentation.
  • Evaluate coding and documentation to identify recommendations for provider improvement.
  • Document audit findings and suggest any applicable changes and/or opportunities for documentation improvement.
  • Recognize and identify trends in billing and documentation at both the practice and provider levels.

Education and Communication:

  • Assist in providing coding knowledge to providers and billing departments as needed.
  • Collaborate and communicate verbally and in writing to deliver audit findings, clearly articulating rationale supported by evidence of conclusions.

Knowledge and Compliance with Coding Standards:

  • Maintain current knowledge of CMS policies and coding applications for CPT, ICD-10, HCPCS, and other applicable coding standards for medical claims.
  • Compilation of applicable CMS fees and audit findings/results for tracking accuracy and provider productivity analysis.
Requirements:

Qualifications

  • Certified as a CPMA 
  • 3+ years of experience in healthcare
  • Detailed oriented, attention to detail and ability to multi-task
  • Good written and verbal communication skills