ZipRecruiter

Log In

1

Fwa Auditor Jobs (NOW HIRING)

Garlandtx

Auditor/Sr. Auditor

Garland, TX · On-site

$78K - $96K/yr

## Auditor/Sr. AuditorApplylocations: Internal Auditposted on: Posted Yesterdayjob requisition id ... Investigate fraud, waste and/or abuse (FWA) allegations reported directly or via the anonymous ...

previous pagenext page

Showing results 21-40

All JobsFinance And Insurance JobsAccounting JobsAuditor JobsFwa Auditor Jobs

Fwa Auditor information

See salary details

$38.5K

$92.8K

$151K

How much do fwa auditor jobs pay per year?

As of Sep 14, 2026, the average yearly pay for fwa 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 is an FWA auditor?

FWA Auditors are professionals responsible for detecting, investigating, and preventing Fraud, Waste, and Abuse (FWA) within organizations, particularly in sectors like healthcare and insurance. They review claims, analyze patterns, and ensure compliance with regulatory standards to protect company resources and maintain ethical practices. FWA Auditors often work closely with compliance teams and law enforcement to identify suspicious activities and recommend corrective actions. Their work is crucial in minimizing financial losses and maintaining trust in organizational systems.

What are some common challenges FWA auditors face when investigating potential fraud, waste, or abuse cases?

FWA Auditors often encounter challenges such as interpreting large volumes of complex data, staying current with evolving regulations, and distinguishing between genuine errors and intentional wrongdoing. The role requires meticulous attention to detail and strong analytical skills, as even minor oversights can lead to incorrect conclusions. Additionally, FWA Auditors frequently collaborate with compliance, legal, and operations teams to gather relevant information and ensure thorough investigations, which requires effective communication and teamwork.

What are the key skills and qualifications needed to thrive as an FWA auditor, and why are they important?

To thrive as a FWA (Fraud, Waste, and Abuse) Auditor, you need strong analytical skills, attention to detail, and a background in healthcare, finance, or compliance, often supported by a relevant degree or certification such as Certified Fraud Examiner (CFE). Familiarity with data analysis tools, claims management systems, and audit software is typically required. Exceptional critical thinking, integrity, and effective communication are important soft skills for identifying irregularities and presenting findings. These capabilities are crucial for detecting and preventing fraudulent activities, ensuring regulatory compliance, and safeguarding organizational resources.

What is the difference between Fwa Auditor vs Fwa Inspector?

AspectFwa AuditorFwa Inspector
CertificationsTypically requires safety and compliance certifications, such as OSHA or industry-specific credentialsOften requires similar safety certifications, with a focus on inspection-specific qualifications
Work EnvironmentConducts audits, reviews documentation, and assesses compliance remotely or on-sitePerforms on-site inspections, monitoring work sites for safety and code adherence
Employer & Industry UsageUsed by construction firms, safety agencies, and regulatory bodies to ensure complianceEmployed by construction companies, safety agencies, and inspectors to verify site safety

While both roles focus on safety and compliance within the construction industry, Fwa Auditors primarily review documentation and conduct audits, whereas Fwa Inspectors perform on-site inspections to ensure safety standards are met.

What are popular job titles related to Fwa Auditor jobs?

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

Infographic showing various Fwa Auditor job openings in the United States as of September 2026, with employment types broken down into 91% Full Time, 6% 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.

Fraud, Waste, and Abuse (FWA) Medical Record Reviewer

Elkridge, MD • On-site

Elite Technical
51 - 200 employees
Learn more about Elite Technicalexternal

Other

Posted 28 days ago

Job description

Fraud, Waste, and Abuse (FWA) Medical Record Reviewer

Elite Technical is seeking a Fraud, Waste, and Abuse (FWA) Medical Record Reviewer! We are seeking an experienced healthcare fraud investigator and medical record reviewer with expertise in analyzing medical documentation, claims data, provider billing patterns, and regulatory compliance requirements. Skilled in identifying potential fraud, waste, and abuse indicators through detailed record review, coding validation, and investigative research. Knowledgeable in Medicare, Medicaid, HIPAA, CPT, HCPCS, and ICD-10 guidelines, with strong analytical and case documentation abilities.

<>Required Skills

Education:
- Bachelor''s degree in:
* Health Information Management
* Nursing
* Healthcare Administration
* Medical Coding
* Criminal Justice
* Public Health
* Related healthcare field
- Experience
* 2-5+ years reviewing medical records, claims, or healthcare documentation. Experience in:
* Fraud, Waste, and Abuse investigations
* Medicare and Medicaid programs
* Claims auditing
* Utilization review
* Clinical documentation review
* SIU (Special Investigations Unit) operations
- Knowledge Requirements
* Medical terminology, anatomy, and physiology.
* CPT, HCPCS, and ICD-10 coding systems.
* Medicare, Medicaid, and commercial insurance regulations.
* Healthcare compliance requirements (HIPAA, OIG guidelines, CMS regulations).
* Documentation standards for healthcare providers.
- Technical Skills
* Electronic Medical Records (EMR/EHR) systems.
* Claims processing systems.
* Microsoft Office (Excel, Word, Outlook).
* Data analysis and reporting tools.
* Ability to identify documentation inconsistencies and billing irregularities.
- Certifications (Often Preferred)
* Certified Professional Coder (CPC)
* Certified Coding Specialist (CCS)
* Registered Health Information Technician (RHIT)
* Registered Health Information Administrator (RHIA)
* Certified Fraud Examiner (CFE)
* Accredited Healthcare Fraud Investigator (AHFI)
* Certified Professional Medical Auditor (CPMA)
- Key Competencies
* Strong analytical and critical-thinking skills.
* Attention to detail.
* Investigative mindset.
* Ability to interpret complex medical documentation.
* Report writing and case documentation skills.
* Knowledge of healthcare fraud schemes and abuse indicators.

Apply