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Cms Auditor Jobs (NOW HIRING)

Sharp HealthCare

Compliance Auditor - SRS

San Diego, CA · On-site

$34.17 - $44.09/hr

... CMS and local MAC (Medicare Administrative Contractor) requirements. Required Qualifications * 3 ... Auditing Participates in audit risk assessment for each division/provider to determine trends and ...

Firstsource

Quality Auditor

- Auditor (HB & PB) Role Auditor - Hospital Billing (HB) & Professional Billing (PB) Role Summary ... Ensure compliance with payer guidelines, CMS regulations, and client SOPs * Participate in internal ...

Firstsource

Quality Auditor

- Auditor (HB & PB)Role Auditor - Hospital Billing (HB) & Professional Billing (PB) Role Summary ... Ensure compliance with payer guidelines, CMS regulations, and client SOPs * Participate in internal ...

Sharp Healthcare

Compliance Auditor - SRS

San Diego, CA · On-site

$34.17 - $44.09/hr

... CMS and local MAC (Medicare Administrative Contractor) requirements. Required Qualifications * 3 ... Auditing Participates in audit risk assessment for each division/provider to determine trends and ...

Wellpath

Senior Compliance Coding Auditor

Franklin, TN

$78K - $96K/yr

Working knowledge of OIG, CMS, AMA, and payer-specific compliance and documentation requirements * Experience auditing or overseeing third-party billing vendors strongly preferred * Familiarity with ...

Wellpath

Senior Compliance Coding Auditor

Franklin, TN · On-site

$78K - $96K/yr

Working knowledge of OIG, CMS, AMA, and payer-specific compliance and documentation requirements * Experience auditing or overseeing third-party billing vendors strongly preferred * Familiarity with ...

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Cms Auditor information

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$33K

$76.3K

$121.5K

How much do cms auditor jobs pay per year?

As of Jun 30, 2026, the average yearly pay for cms auditor in the United States is $76,256.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,500.00 and $98,500.00 per year, depending on experience, location, and employer.

Is CMS a federal job?

A CMS Auditor is a federal government position that involves reviewing healthcare claims and ensuring compliance with regulations. These roles typically require security clearances, knowledge of healthcare policies, and may be based in government agencies or contracted organizations. They are considered federal jobs with associated benefits and employment standards.

What is a CMS auditor?

A CMS auditor is a professional responsible for reviewing and verifying healthcare claims and billing practices to ensure compliance with Centers for Medicare & Medicaid Services (CMS) regulations. They analyze medical records, billing data, and coding accuracy, often using auditing tools and standards to prevent fraud and ensure proper reimbursement.

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

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 is a CMS Auditor job?

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 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.

How do I become a Medicare auditor?

To become a Medicare auditor, typically you need a background in healthcare, accounting, or auditing, along with knowledge of Medicare policies and regulations. Earning relevant certifications such as Certified Healthcare Auditor (CHA) or Certified Public Accountant (CPA) can enhance your qualifications, and experience with healthcare billing or claims review is often required. Employers may also require familiarity with auditing tools and software used in healthcare compliance.

Is an auditor a high paying job?

Auditors can earn competitive salaries, especially with experience, certifications like CPA, and working in specialized fields such as forensic or IT auditing. Salaries vary by industry, location, and level of expertise, but auditing roles generally offer above-average pay compared to many entry-level positions.
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Cms Auditor jobs near you
Infographic showing various Cms Auditor job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $76,256 per year, or $36.7 per hour.
Senior ER Coding Auditor

Senior ER Coding Auditor

Exceptional Healthcare Inc.

Dallas, TX • On-site

$27 - $30.75/hr

Other

Posted 20 days ago

Job description

Job Summary (Par time-Potential for Fulltime)
The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations.
 Key Responsibilities
  • Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes
  • Validate E/M level selection for emergency department visits
  • Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA)
  • Identify under coding, over coding, and documentation deficiencies 
  • Prepare detailed audit reports with corrective recommendations
  • Provide education and feedback to coders and providers
  • Train and mentor offshore coding teams on ER coding guidelines and audit findings
  • Conduct regular quality review sessions and calibration meetings with offshore staff
  • Develop and update training materials, Review SOPs, and coding guidelines
  • Monitor offshore team performance and provide ongoing coaching
  • Track audit findings and identify trends to improve coding quality
  • Assist in denial management and revenue cycle improvement
  • Stay current with coding updates and industry changes
Required Certifications (MANDATORY)
One or more of the following:
  • CPC / CPC-A (Certified Professional Coder)
  • CCS (Certified Coding Specialist)
  • COC (Certified Outpatient Coder)
  • CPMA (Certified Professional Medical Auditor) – Highly Preferred
Qualifications
  • Minimum 3–5 years of ER (Emergency Room) coding experience for facility and professional billing required
  • At least 1–2 years of auditing experience
  • Prior experience training or managing offshore teams preferred
  • Strong knowledge of ER-specific coding and E/M guidelines
  • Experience with EHR/EMR systems

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