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Health Auditor Jobs (NOW HIRING)

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$46.52 - $59.20/hr

CHIAP - Certified Healthcare Internal Audit Professional * CIA - Certified Internal Auditor * CISA - Certified Information Systems Auditor * CPA - Certified Public Accountant License * CHS Approved ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$46.52 - $59.20/hr

CHIAP - Certified Healthcare Internal Audit Professional * CIA - Certified Internal Auditor * CISA - Certified Information Systems Auditor * CPA - Certified Public Accountant License * CHS Approved ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$80K - $98K/yr

CHIAP - Certified Healthcare Internal Audit Professional * CIA - Certified Internal Auditor * CISA - Certified Information Systems Auditor * CPA - Certified Public Accountant License * CHS Approved ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site

$46.52 - $59.20/hr

CHIAP - Certified Healthcare Internal Audit Professional * CIA - Certified Internal Auditor * CISA - Certified Information Systems Auditor * CPA - Certified Public Accountant License * CHS Approved ...

Quantix

Healthcare Claims Auditor

Ann Arbor, MI · On-site

Job Title: Healthcare Claims Auditor Location: Ann Arbor, MI Type: Contract Length: Through 12/22/2016 Our client in the Ann Arbor, Michigan area is looking for Healthcare Claims Auditors to join ...

Serene Health

Healthcare Compliance Auditor

Goodyear, AZ · On-site

$18 - $22/hr

The QA Auditor will navigate various health plan Electronic Medical Records (EMRs) to maintain high standards of quality assurance, and ensure compliance with industry standards and regulations.

Serene Health

Healthcare Compliance Auditor

Goodyear, AZ · On-site

$18 - $22/hr

The QA Auditor will navigate various health plan Electronic Medical Records (EMRs) to maintain high standards of quality assurance, and ensure compliance with industry standards and regulations.

Arkansas Blue Cross

Auditor

Little Rock, AR · On-site

Job Summary The Auditor conducts all phases of internal audit and control functions focusing on ... Requirements EDUCATION Bachelor's degree in Accounting, Information Systems, Healthcare Management ...

Suffolk County Government

Auditor

Hauppauge, NY

$54K - $88K/yr

The exam is "Auditor" Please Proceed As Follows: * Locate at the top right side of the site in the ... Health Insurance: Suffolk offers a comprehensive health insurance plan, including medical, dental ...

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Health Auditor information

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$30.5K

$72.6K

$117.5K

How much do health auditor jobs pay per year?

As of Aug 12, 2026, the average yearly pay for health auditor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What is the difference between Health Auditor vs Health Inspector?

AspectHealth AuditorHealth Inspector
Required CredentialsCertification in health auditing, public health degreeEnvironmental health certification, public health training
Work EnvironmentHealthcare facilities, insurance companies, government agenciesRestaurants, food establishments, public health departments
Employer & Industry UsageHealthcare organizations, insurance firms, government health agenciesLocal health departments, food safety agencies

Health Auditors focus on evaluating healthcare facilities' compliance with health standards and improving health management systems, often working in healthcare settings. Health Inspectors primarily assess food safety and sanitation in public venues like restaurants, working within local health departments. While both roles promote public health, they differ in their specific environments and certification requirements.

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

To thrive as a Health Auditor, you need expertise in health regulations, auditing practices, and healthcare compliance, often supported by a degree in health administration or a related field. Familiarity with auditing software, electronic health records (EHR) systems, and certifications such as Certified Internal Auditor (CIA) or Certified Healthcare Internal Audit Professional (CHIAP) is highly valuable. Strong attention to detail, analytical thinking, and clear communication skills help auditors identify discrepancies and convey findings effectively. These capabilities ensure accurate assessments, regulatory compliance, and improved healthcare quality.

What are some common challenges health auditors face when conducting audits in healthcare facilities?

Health Auditors often encounter challenges such as navigating complex regulatory requirements, obtaining accurate and complete documentation from staff, and addressing resistance to change within healthcare teams. They must also stay updated with evolving healthcare laws and standards, which can vary by region or facility type. Building strong communication skills and fostering collaborative relationships with medical and administrative staff are essential for overcoming these obstacles and ensuring a thorough, effective audit.

What is a health auditor?

Health Auditors are professionals who evaluate healthcare organizations, facilities, or programs to ensure compliance with regulatory standards, internal policies, and best practices. Their work includes reviewing medical records, billing procedures, and operational processes to identify areas of risk or non-compliance. By conducting thorough audits, they help maintain quality and safety standards, prevent fraud, and support continuous improvement in healthcare delivery.

How to become a health auditor?

To become a health auditor, individuals typically need a bachelor's degree in health administration, public health, or a related field. Gaining experience in healthcare settings and obtaining certifications such as the Certified Healthcare Auditor (CHA) can enhance job prospects. Strong knowledge of healthcare regulations, auditing procedures, and attention to detail are essential for success in this role.
More about Health Auditor jobs
What states have the most Health Auditor jobs? States with the most job openings for Health Auditor jobs include:
What job categories do people searching Health Auditor jobs look for? The top searched job categories for Health Auditor jobs are:
Health Auditor jobs near you
Infographic showing various Health Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Medical Review Nurse - Home Health Auditor

Machinify

Remote

Full-time

Posted 20 days ago

Job description

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
The Medical Review Nurse II primarily performs medical claims audit reviews with a focus on the Home Health sector. As a MR Nurse Auditor, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government and Commercial Payers. You will work remotely in a fast-paced and dynamic environment and be part of a multi-location team.
Key Responsibilities:
  • Auditing claims for medically appropriate services provided for inpatient settings while applying appropriate medical review guidelines, policies and rules.
  • Document all findings referencing the appropriate policies and rules.
  • Generate letters articulating audit findings.
  • Support your findings during the appeals process if requested.
  • Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse.
  • Keep abreast of medical practice, changes in technology, and regulatory issues that may affect our clients.
  • Work with the team to minimize the number of appeals; Suggest ideas that may improve audit workflows; Assist with QA functions and training team members.
  • Cross train in all clinical departments/areas.
  • Other duties as required to meet business needs.

Knowledge, Skills and Abilities Needed:
  • Experience with utilization management systems or clinical decision-making tools such as Medical Coverage Guidelines (MCG) or InterQual.
  • Experience with and deep knowledge of ICD-9, ICD-10, CPT-4 or HCPCS coding.
  • Knowledge of insurance programs program, particularly the coverage and payment rules.
  • Ability to maintain high quality work while meeting strict deadlines.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple tasks including desk audits and claims review.
  • Must be able to independently use standard office computer technology (e.g. email SharePoint, slack, outlook calendar etc.)
  • Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload
  • Effectively work independently and as a team, in a remote setting.

Education Requirements:
  • An associate or bachelor's degree in nursing (active/unrestricted RN license) is required.
  • Medical Coding certification is preferred (see below for examples).
    • CCDS - Certified Clinical Documentation Specialist
    • CDIP - Clinical Documentation Improvement Practitioner
    • CCS - Certified Coding Specialist
    • CIC - Certified Inpatient Coder

Required and Preferred Qualifications:
  • Home Health claims auditing, quality assurance and/or recovery auditing experience of 2 years or more required. Experience of 3 or more years is preferred.
  • Must have Home Health experience.
  • Strong focus on quality and attention to detail.
  • Deep curiosity and analytical skills to understand root causes of events and behaviors.
  • Proven ability to apply critical judgment in clinical determinations; medical coding ability preferred.
  • In-depth knowledge of clinical criteria and documentation requirements to support code assignments.
  • Understanding of ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and AHA's Coding Clinic Guidelines is preferred.
  • Ability to work independently and efficiently in a remote environment.

Equal Employment Opportunity at Machinify
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

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