1

Denial Auditor Jobs (NOW HIRING)

The auditor evaluates case accuracy, procedural compliance, clinical and coverage determinations ... Assess adherence to CMS requirements for notices, including denial letters, appeal determinations ...

Coding Auditor

Appleton, WI · On-site

$26.50 - $30.25/hr

Provides feedback and education to coders when discrepancies and areas of opportunity are identified through auditing and payer denial review SCHEDULE : * Part time, not benefit eligible * 16 hrs/w ...

Coding Auditor

Appleton, WI · On-site

$26 - $29.50/hr

Provides feedback and education to coders when discrepancies and areas of opportunity are identified through auditing and payer denial review SCHEDULE : * Part time, not benefit eligible * 16 hrs/w ...

Coding Auditor

Chicago, IL · On-site

$32 - $52.08/hr

As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting ... denial reports to ensure optimal reimbursement 10. Analyzes billing trends to identify areas of non ...

Coding Auditor

Manchester, IA · Remote

$24.50 - $28/hr

Provides feedback and education to coders when discrepancies and areas of opportunity are identified through auditing and payer denial review SCHEDULE : * Part time, not benefit eligible * 16 hrs/w ...

Senior Coding Auditor

Dallas, TX · On-site

$80K - $98K/yr

We handle everything from medical coding and credentialing to denial management and patient ... Senior Coding Auditor Report To: CEO Experience: 15 - 25 Years Qualification: Gradute in Life ...

Denials Analyst FT

Gibson City, IL · On-site

$20 - $26/hr

PRINICIPAL DUTIES AND RESPONSIBILITIES 1. Daily claim denial auditing recorded in excel sheets 2. Monthly denial reports worked then sent to clinics for review. 3. Prepare training material in ...

Coding Educator/Auditor

San Antonio, TX · Remote

$24.50 - $28/hr

Prepares departmental coding and denial progress reports. * Performs other related duties as ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

Prepares departmental coding and denial progress reports. * Performs other related duties as ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...

Coding Educator/Auditor

San Antonio, TX · Remote

$23.50 - $26.75/hr

Prepares departmental coding and denial progress reports. * Performs other related duties as ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...

Showing results 41-60

Denial Auditor information

See salary details

$38.5K

$92.8K

$151K

How much do denial auditor jobs pay per year?

As of Sep 11, 2026, the average yearly pay for denial 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 are popular job titles related to Denial Auditor jobs?

For Denial Auditor jobs, the most frequently searched job titles are:

Infographic showing various Denial Auditor job openings in the United States as of September 2026, with employment types broken down into 90% Full Time, 7% Part Time, 2% Contract, and 1% Nights. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.

Grievance & Appeals Auditor I

Doral, FL • On-site

Solis Health Plans
Insurance Services • 11 - 50 employees

$55K - $65K/yr

Full-time

Posted 8 days ago


Job description

Job Summary

The Grievance and Appeals (G&A) Auditor is responsible for performing end-to-end audit of appeals and grievance cases. This role ensures compliance with applicable regulatory requirements, including standards established by the Centers for Medicare & Medicaid Services (CMS). The auditor evaluates case accuracy, procedural compliance, clinical and coverage determinations, and timeliness standards, while identifying opportunities for process improvement and risk mitigation.

Key Responsibilities

Primary duties may include, but are not limited to:

  • Conduct pre- and post-resolution audits of member appeals and grievance cases across Medicare Advantage and other managed care lines of business. 
  • Ensure compliance with CMS Medicare Advantage Appeals and Grievance regulations, internal policies, and regulatory timeframes. 
  • Review case files for accuracy and completeness, including: 
  • Member eligibility and benefit coverage 
  • Medical necessity determinations 
  • Clinical rationale and supporting documentation 
  • Benefit interpretation and plan policy application 
  • Provider and member communications 
  • Validate that appropriate clinical and administrative review levels were applied throughout the appeals and grievance lifecycle.
  • Assess adherence to CMS requirements for notices, including denial letters, appeal determinations, and grievance responses. 

Audit & Compliance Oversight

  • Identify procedural errors, compliance gaps, and documentation deficiencies. 
  • Evaluate timeliness of case resolution against regulatory standards. 
  • Document audit findings with clear rationale, regulatory citations, and impact assessments. 
  • Support audit readiness and regulatory examination activities. 

Documentation & Reporting

  • Prepare detailed audit reports outlining: 
  • Case review findings and decision accuracy 
  • Procedural and compliance deviations 
  • Financial, operational, or regulatory risk exposure 
  • Track audit outcomes to identify trends in appeals and grievance processing errors. 
  • Support reporting for compliance committees, regulatory audits, and internal quality initiatives. 

Quality Improvement & Support

  • Provide feedback to Grievance and Appeals teams regarding identified errors and improvement opportunities. 
  • Recommend corrective actions, training needs, and process enhancements. 
  • Identify systemic issues and collaborate with leadership, compliance, and operational teams to implement solutions. 
  • Escalate potential compliance risks or regulatory violations as appropriate. 

Collaboration & Communication

  • Partner with clinical reviewers, compliance officers, and operational leaders to resolve complex case issues. 
  • Communicate audit findings clearly to both technical and non-technical stakeholders.