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Health Insurance Auditor Jobs (NOW HIRING)

Gem

Auditor

Brooklyn, NY · On-site

$22/hr

Auditor Location: HQ Schedule: Full-Time Pay Range: $22 per hour Hours: Mon-Fri; 9:30 am - 6:00 pm ... Health insurance * Paid time off Responsibilities: · Conduct regular audits of Hardgoods (HG ...

Relevante, Inc.

Senior Auditor

Orlando, FL · On-site

$75K - $92K/yr

Benefits for the Senior Auditor ... Health Insurance * Dental Insurance * Profit Sharing About Relevante, Inc. - the Recruiting Firm ...

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Health Insurance Auditor information

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$17

$26

$45

How much do health insurance auditor jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for health insurance auditor in the United States is $26.24, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $34.38 per hour, depending on experience, location, and employer.

What is a Health Insurance Auditor?

A Health Insurance Auditor is a professional responsible for reviewing and evaluating healthcare claims, billing records, and insurance documents to ensure accuracy, compliance with regulations, and prevention of fraud. They analyze medical records and insurance policies to verify that services billed are medically necessary and properly documented. Their work helps healthcare organizations, insurance companies, and government agencies maintain financial integrity and comply with healthcare laws and standards.

What are some common challenges Health Insurance Auditors face during claim reviews, and how can these be addressed?

Health Insurance Auditors often encounter challenges such as incomplete documentation, discrepancies between provider records and claims, and keeping up with frequently changing regulations. These issues can be addressed by maintaining up-to-date knowledge of industry standards, developing strong attention to detail, and fostering good communication with healthcare providers to clarify information. Additionally, utilizing audit management software and participating in regular training can help auditors stay organized and efficient in their reviews.

What are the key skills and qualifications needed to thrive as a Health Insurance Auditor, and why are they important?

To thrive as a Health Insurance Auditor, you need a solid understanding of healthcare billing, auditing procedures, and regulatory compliance, typically supported by a degree in healthcare administration, accounting, or a related field. Familiarity with claims management systems, electronic health records (EHRs), and certifications like Certified Professional Medical Auditor (CPMA) are common requirements. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and explaining audit findings. These skills and qualifications ensure accurate claims processing, regulatory compliance, and the prevention of fraud or financial loss for healthcare organizations and insurers.

What is the difference between Health Insurance Auditor vs Claims Examiner?

AspectHealth Insurance AuditorClaims Examiner
CredentialsCertifications like CPC, CPC-H, or CIA often preferredCertifications like CPC or claims-specific training common
Work EnvironmentTypically in offices, performing audits on claims and recordsUsually in claims departments reviewing and processing claims
Industry UsageUsed across insurance companies, government agencies, and consulting firmsPrimarily employed by insurance companies and healthcare providers

Health Insurance Auditors focus on reviewing claims and records for accuracy and compliance, often conducting audits to prevent fraud and ensure proper billing. Claims Examiners process and review individual claims for payment. While both roles involve claims, auditors have a broader scope, including compliance and auditing standards, whereas examiners handle day-to-day claim processing.

More about Health Insurance Auditor jobs
What cities are hiring for Health Insurance Auditor jobs? Cities with the most Health Insurance Auditor job openings:
What states have the most Health Insurance Auditor jobs? States with the most job openings for Health Insurance Auditor jobs include:
What job categories do people searching Health Insurance Auditor jobs look for? The top searched job categories for Health Insurance Auditor jobs are:
Health Insurance Auditor jobs near you
Infographic showing various Health Insurance Auditor job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 93% Full Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $54,574 per year, or $26.2 per hour.

Inventory Auditor

Audit Control Inventory, Inc.

Adamsville, AL

$35K - $45K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 hours ago

Job description

Benefits:
  • 401(k)
  • Bonus based on performance
  • Company car
  • Competitive salary
  • Free uniforms
  • Health insurance
  • Paid time off

Pay: $35,000.00 - $40,000.00 per year
Job description:

Audit Control Inventory Services is a retail inventory service based in Pensacola, FL. We currently have several positions available conducting inventory audits in different types of retail stores in the Florida area. This job does require travel up to four nights a week away from home.
The position requires confident, self-motivating individuals who are:
  • Honest
  • Detail-oriented
  • Organized
  • Professional in appearance
  • Excellent Communicators
  • Flexible
Currently we service clients throughout the Southeast US on a monthly basis, including FL, GA, AL, MS, TN, NC, SC, VA, LA, and AR. Our work week is primarily Monday thru Friday, with certain exceptions to allow for customer requests.
10-key by touch experience is required, previous Retail Inventory experience is preferred; training will be provided and is extensive. This is a very easy job to perform but is quite difficult to learn. Training is paid (at a training wage) until both the company, and the auditor are confident in the auditors' abilities. Most new, inexperienced auditors require 4-6 weeks of training.
The physical requirements of the job require the ability to stand, stoop, kneel, climb a stepladder and lift less than 30 lbs. on a daily basis. Other requirements include a working knowledge of MS Office, E-Mail and basic computer functions (i.e. saving, renaming and moving files, email attachments, and printing reports.)
Our Compensation Package includes the following:
  • Competitive Salary (Based on experience)
  • Bonus Programs
  • Company Vehicle
  • Company paid travel expenses (Fuel, Lodging, Meals)
  • Paid Vacation
  • 401(k) Retirement Plan
  • Health Benefits
  • Paid Holidays

Job Type: Full-time
Benefits:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance
Schedule:
  • Monday to Friday
Willingness to travel:
  • 100% (Required)
Work Location: On the road