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Healthcare Auditor Jobs (NOW HIRING)

Independent Living Systems

Claims Auditor

Miami, FL · On-site

ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete ... The Claims Auditor plays an essential role in ensuring the accuracy, compliance, and integrity of ...

Independent Living Systems

Claims Auditor

Miami, FL · On-site

ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete ... The Claims Auditor plays an essential role in ensuring the accuracy, compliance, and integrity of ...

Quantix

Healthcare Claims Auditor

Ann Arbor, MI

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 ...

Mercyhealth

Internal Auditor

Janesville, WI · On-site

$58K - $94K/yr

Certified Healthcare Auditor (CHA) * Certified Public Accountant (CPA) * Registered Health Information Administrator (RHIA) Skills and Abilities * Effective written and oral communication skills.

Central Health

Healthcare Delivery Auditor

Austin, TX · On-site

Overview The Healthcare Delivery Auditor supports Central Health's mission to provide access to high-quality care for underserved populations by conducting internal audits of healthcare delivery ...

Central Health

Healthcare Delivery Auditor

Austin, TX · On-site

Overview The Healthcare Delivery Auditor supports Central Health's mission to provide access to high-quality care for underserved populations by conducting internal audits of healthcare delivery ...

Central Health

Healthcare Delivery Auditor

Austin, TX · On-site

The Healthcare Delivery Auditor supports Central Health's mission to provide access to high-quality care for underserved populations by conducting internal audits of healthcare delivery programs and ...

Mercyhealth

Internal Auditor

Janesville, WI · On-site

$58K - $94K/yr

Certified Healthcare Auditor (CHA) * Certified Public Accountant (CPA) * Registered Health Information Administrator (RHIA) Skills and Abilities * Effective written and oral communication skills.

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Healthcare Auditor information

See salary details

$41.5K

$78.2K

$125K

How much do healthcare auditor jobs pay per year?

As of Jul 31, 2026, the average yearly pay for healthcare auditor in the United States is $78,163.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,500.00 and $89,500.00 per year, depending on experience, location, and employer.

What are some common challenges faced by Healthcare Auditors and how can they be addressed?

Healthcare Auditors often encounter challenges such as staying current with frequently changing regulations, interpreting complex billing codes, and managing large volumes of sensitive data. To address these, auditors should engage in ongoing professional development, utilize specialized auditing software, and maintain open communication with clinical and administrative staff. Collaborating closely with compliance teams and participating in regular training ensures accuracy and helps mitigate audit risks.

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

To thrive as a Healthcare Auditor, you need a solid understanding of healthcare regulations, medical billing, and auditing standards, often supported by a relevant degree or certification such as CHCA or CISA. Familiarity with auditing software, electronic health records (EHR) systems, and data analytics tools is typically required. Strong analytical thinking, attention to detail, and effective communication skills help auditors identify discrepancies and collaborate with healthcare providers. These competencies are crucial for ensuring regulatory compliance, minimizing financial risk, and maintaining the integrity of healthcare operations.

What are healthcare auditors?

Healthcare auditors are professionals who review and assess healthcare organizations' records, billing processes, and compliance with regulations to ensure accuracy and prevent fraud. They examine medical records, claims, and financial transactions to identify discrepancies or errors. Their work helps healthcare providers maintain compliance with government and insurance requirements, reduces financial risks, and improves the quality of care. Healthcare auditors may work internally for hospitals or externally for consulting firms, insurance companies, or government agencies.

What is the difference between Healthcare Auditor vs Medical Biller?

AspectHealthcare AuditorMedical Biller
Required CredentialsCertification (e.g., CHC, CCA), relevant degreesCertification (e.g., CPC, CPC-H), relevant degrees
Work EnvironmentHospitals, insurance companies, government agenciesMedical offices, clinics, billing companies
Employer & Industry UsageHealthcare organizations, insurance providersMedical practices, billing services
Common Search & ComparisonHealthcare Auditor vs Medical Biller

Healthcare Auditors focus on reviewing medical records and billing for compliance and accuracy, often working within healthcare organizations or insurance companies. Medical Billers primarily handle the submission of claims and patient billing. While both roles involve healthcare finance, auditors emphasize compliance and accuracy, whereas billers focus on billing processes and claim submission.

More about Healthcare Auditor jobs
What cities are hiring for Healthcare Auditor jobs? Cities with the most Healthcare Auditor job openings:
What states have the most Healthcare Auditor jobs? States with the most job openings for Healthcare Auditor jobs include:
What job categories do people searching Healthcare Auditor jobs look for? The top searched job categories for Healthcare Auditor jobs are:
Healthcare Auditor jobs near you
Infographic showing various Healthcare Auditor job openings in the United States as of July 2026, with employment types broken down into 30% Locum Tenens, 64% Full Time, 5% Part Time, and 1% Contract. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $78,163 per year, or $37.6 per hour.

Healthcare Operations Internal Auditor, Senior II

UPMC Senior Communities

Pittsburgh, PA • On-site

$38.12 - $65.95/hr

Full-time

Re-posted 15 days ago

Job description

Purpose:
The Senior II Healthcare Auditor leads operational audits within the health services division (HSD) and provides strategic insight to Internal Audit and Operational leadership. Leveraging healthcare operations expertise, the Expert Auditor is intended to infuse their subject matter knowledge throughout the audit process. This role is responsible for assisting other auditors and influencing enterprise risk management related to clinical operations.
Location: This position will be based out of the Steel Tower in Pittsburgh, PA. This position will have the potential to work from home on a hybrid schedule which includes some days in office and some days at home per week.
Responsibilities:
  • Lead operational, clinical, and regulatory audits
  • Contribute to risk assessments and the annual audit plan
  • Evaluate enterprise level clinical controls and governance structures
  • Provide advisory support for new clinical initiatives, acquisitions, and regulatory changes
  • Assist and train other auditors
  • Coordinate with and assess Compliance, Legal, Quality, and Revenue Cycle (all second lines of defense functions)
  • Present audit results to senior and executive leadership
  • Identify systematic trends and surface emerging risks across multiple locations
  • Use operational, clinical, and revenue cycle data and workflow design knowledge in the audit process

Qualifications:
  • Bachelors degree or equivalent clinical certification
  • 5+ years of progressive clinical, audit, or compliance experience
  • OR High School Diploma/GED and seven years of related work experience.
  • Demonstrated expertise in healthcare operations
  • Strong executive communication and influence skills
  • Superior computer skills, including experience in MS Office tools: Word, Excel, Outlook PowerPoint, CoPilot and SharePoint
  • Strong understanding of risk analysis and process improvement.
  • Willingness to travel, as needed

Key Competencies
  • Clinical and regulatory subject matter expertise
  • Audit planning, execution, and reporting leadership
  • Strong written and verbal communication
  • Risk assessment, process improvement, and root cause analysis
  • Excellent project management skills
  • Sound professional judgment and discretion
    Licensure, Certifications, and Clearances:
    RN, LPN, CHC, CPC, CIA, Six Sigma or CPMA preferred
  • Act 34
    UPMC is an Equal Opportunity Employer/Disability/Veteran

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