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Credentialing Auditor Jobs (NOW HIRING)

The Credentialing Coordinator is responsible for assisting in the planning, implementation and ... Prepare initial and reappointment files for auditing and committee review. * Pursue incomplete and ...

Auditor I / Auditor II

Saint Louis, MO · On-site

$60K - $110K/yr

The Auditor I assesses the effectiveness of business processes and internal controls associated ... Career level dependent on candidate credentials In addition to the above qualifications, the ...

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

Credentialing Manager

Phoenix, AZ · Remote

$95K - $120K/yr

Deep familiarity with credentialing best practices (primary source verification, file auditing, recredentialing cadence, documentation standards). * Experience working with CAQH and common ...

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

Knowledge of credentialing software platforms and auditing processes preferred. Applicants to the Credentialing Specialist position must be located within the Greater St. Louis, MO area.

Credentialing Manager

Brooklyn, NY · Remote

$95K - $120K/yr

Deep familiarity with credentialing best practices (primary source verification, file auditing, recredentialing cadence, documentation standards). * Experience working with CAQH and common ...

Apply Early

Credentialing Manager

Denver, CO · Remote

$95K - $120K/yr

Deep familiarity with credentialing best practices (primary source verification, file auditing, recredentialing cadence, documentation standards). * Experience working with CAQH and common ...

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Credentialing Coordinator

Flemington, NJ · On-site

$51K - $64K/yr

Credentialing Committee, Medical Executive Committee, General Medical Staff and other committees ... This includes auditing the on-call schedule on a weekly basis. Qualifications Minimum Education:

Credentialing Manager

Charlotte, NC · Remote

$95K - $120K/yr

Deep familiarity with credentialing best practices (primary source verification, file auditing, recredentialing cadence, documentation standards). * Experience working with CAQH and common ...

Apply Early

Credentialing Manager

Chicago, IL · Remote

$95K - $120K/yr

Deep familiarity with credentialing best practices (primary source verification, file auditing, recredentialing cadence, documentation standards). * Experience working with CAQH and common ...

Credentialing Manager

San Francisco, CA · Remote

$95K - $120K/yr

Deep familiarity with credentialing best practices (primary source verification, file auditing, recredentialing cadence, documentation standards). * Experience working with CAQH and common ...

Apply Early

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Credentialing Auditor information

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How much do credentialing auditor jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for credentialing auditor in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

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

To thrive as a Credentialing Auditor, you need a solid understanding of healthcare regulations, credentialing processes, and auditing standards, often supported by experience in healthcare administration or compliance. Familiarity with credentialing management software, databases, and knowledge of compliance policies like NCQA or Joint Commission standards is typically required. Strong attention to detail, critical thinking, and effective communication skills help auditors excel in this role. These competencies are crucial to ensuring accuracy, regulatory compliance, and the integrity of health provider credentialing systems.

What is a credentialing auditor?

A credentialing auditor reviews and verifies healthcare providers' credentials, licenses, and certifications to ensure compliance with regulatory and organizational standards. They typically examine documentation, update records, and may use credentialing software as part of their responsibilities.

Is an auditor a high paying job?

Credentialing auditors typically earn a moderate to high salary depending on experience, industry, and location. They often require attention to detail, knowledge of healthcare or regulatory standards, and certifications such as the Certified Healthcare Auditor (CHA). Salaries can range widely, with experienced auditors in specialized fields earning higher compensation.

How much does a credentialing specialist make in the US?

A credentialing specialist in the US typically earns between $40,000 and $60,000 annually, depending on experience, location, and employer size. Salaries can vary based on certifications, such as Certified Provider Credentialing Specialist (CPCS), and the complexity of the credentialing process they handle.

What are the most common challenges faced by Credentialing Auditors, and how can they be managed?

Credentialing Auditors often encounter challenges such as navigating complex regulatory requirements, identifying inconsistencies in documentation, and keeping up with frequent changes in compliance standards. Managing these obstacles requires strong organizational skills and a proactive approach to staying current with industry updates and best practices. Auditors may rely heavily on established checklists, ongoing professional training, and open communication with credentialing teams to ensure thorough and accurate reviews. Leveraging these strategies helps maintain compliance and minimizes delays in provider approvals, making the role vital to healthcare organizations.

What degree do you need to be a credentialing specialist?

A credentialing auditor typically needs at least a high school diploma or equivalent, but many employers prefer candidates with a bachelor's degree in healthcare administration, health information management, or a related field. Relevant skills include attention to detail, knowledge of medical credentials, and familiarity with healthcare regulations and credentialing software.

What is a Credentialing Auditor job?

A Credentialing Auditor is responsible for reviewing and verifying the credentials of healthcare providers to ensure compliance with industry, regulatory, and organizational standards. They audit provider documentation, licensure, certifications, and professional history to confirm accuracy and completeness. Their role helps maintain high-quality patient care by ensuring that only qualified professionals are credentialed. Credentialing Auditors often work with healthcare organizations, insurance companies, and accreditation agencies to uphold regulatory requirements.

More about Credentialing Auditor jobs
What cities are hiring for Credentialing Auditor jobs? Cities with the most Credentialing Auditor job openings:
What are the most commonly searched types of Credentialing Auditor jobs? The most popular types of Credentialing Auditor jobs are:
What states have the most Credentialing Auditor jobs? States with the most job openings for Credentialing Auditor jobs include:
Infographic showing various Credentialing Auditor job openings in the United States as of June 2026, with employment types broken down into 7% Locum Tenens, 1% As Needed, 65% Full Time, 1% Part Time, and 26% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Job description

The incumbent serves as a Forensic Auditor in the Financial Investigative Services Division (FISD) within the Office of Science and Technology (OST), Financial Investigative Services Division. FISD is comprised of professionally credentialed Forensic Auditors who provide comprehensive financial investigative services supporting criminal investigations under the Bureau's jurisdiction.Qualifications:
To qualify for the Auditor (Financial) at GS-0511-12 position you must meet the following requirements by the closing date of this announcement.
Degree: accounting, auditing; or a degree including auditing courses in a related field such as business administration, finance, or public administration that included or was supplemented by 24 semester hours in accounting. The 24 hours may include up to 6 hours of credit in business law.
OR
Combination of education and experience:
at least 4 years of experience in accounting, or an equivalent combination of accounting experience, college-level education, and training that provided professional accounting knowledge. The applicant's background must also include one of the following:
  1. Twenty-four semester hours in accounting or auditing courses of appropriate type and quality. This can include up to 6 hours of business law;
  2. A certificate as Certified Public Accountant or a Certified Internal Auditor, obtained through written examination; or
  3. Completion of the requirements for a degree that included substantial course work in accounting or auditing, e.g., 15 semester hours, but that does not fully satisfy the 24-semester-hour requirement of paragraph A, provided that (a) the applicant has successfully worked at the full-performance level in accounting, auditing, or a related field, e.g., valuation engineering or financial institution examining; (b) a panel of at least two higher level professional accountants or auditors has determined that the applicant has demonstrated a good knowledge of accounting and of related and underlying fields that equals in breadth, depth, currency, and level of advancement that which is normally associated with successful completion of the 4-year course of study described in paragraph A; and (c) except for literal nonconformance to the requirement of 24 semester hours in accounting, the applicant's education, training, and experience fully meet the specified requirements.
AND
Specialized experience
is demonstrated experience, which has equipped the applicant with the particular knowledge, skills and abilities to perform successfully the duties of this position. Experience must be in the normal line of progression or must be related to the work of the position advertised and must be reflected in resume.
Specialized experience must include all of:
  • Applying experience in forensic accounting/auditing; AND
  • Conducting financial investigations or complex audits involving multiples businesses; AND
  • Leading financial assignments and teams; AND
  • Developing reports and work product in compliance with standards and presenting findings to the auditee, team members, criminal investigators, prosecutors and/or triers of fact both orally and in writing.
Your resume must support your responses to the application questionnaire and the qualification requirements. Failure to do so may result in an ineligible rating.See the Required Documents section for important notes about what must be included in your resume.
After you submit this application, you will receive an e-mail informing you that a USA Hire assessment is required of you. You will have 48 hours from the closing date of this announcement (07/07/2026) to complete the assessment as this assessment is part of your application.Education:If you are relying on your education to meet qualification requirements, please see the statements below.
Education must be reviewed and certified by an accrediting institution recognized by the U.S. Department of Education, in order for it to be creditable towards your qualifications. Therefore, provide only the attendance and/or degrees from accredited institution.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in a conventional U.S. education program. It is your responsibility to provide such evidence when applying. For special instructions pertaining to foreign education and a list of organizations that can evaluate foreign education, see the Department of Education website. If you are qualifying on foreign education, you MUST submit proof of creditability of education as evaluated by a credentialing agency. All documentation must be in English or include an English translation.
Employment Type: OTHER