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Hospital Auditor Jobs (NOW HIRING)

DaMar Staffing

Inpatient Coding Auditor

Kansas City, MO · On-site

$26.50 - $30.25/hr

Health systems, hospitals and medical clinics are under immense pressure to improve clinical ... The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing ...

Cook Children's

Claim Auditor I

Fort Worth, TX

... hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is ... also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before ...

Page Mechanical Group, Inc.

$78K - $98K/yr

PTO and Company Paid Holidays Required Skills, Experience & Education: * 3 - 5 years' experience as a hospital billing coordinator and/or auditor. * Certified Professional Coder preferred. * 2 years ...

Salina Regional Health Center

CODING AUDITOR

Salina, KS · On-site

$26 - $29.50/hr

Auditors will perform quality reviews on records coded by hospital coding staff as well as professional coding staff to validate that ICD 10 codes and DRG assignments are accurate and consistent with ...

Salina Regional Health Center

CODING AUDITOR

Salina, KS · On-site

$26 - $29.50/hr

Auditors will perform quality reviews on records coded by hospital coding staff as well as professional coding staff to validate that ICD 10 codes and DRG assignments are accurate and consistent with ...

Cook Children's

... hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is ... also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before ...

Montefiore

Senior Coding Auditor

South Broadway, WA · On-site

$81K - $99K/yr

The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes ... Proficient in payment review systems, hospital information systems, clinical record information ...

Cook Children's

Claim Auditor I

Fort Worth, TX · On-site

... hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is ... also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before ...

Ethos Veterinary Health

Financial Auditor

Austin, TX · On-site

$20 - $26/hr

Financial Auditor $20 - $26/hr. | Austin Veterinary Emergency & Specialty | Austin, TX Be part of ... As our 45,000 sq. ft. state-of-the-art hospital continues to grow-with new doctors, expanded ...

Huron Consulting Group

Inpatient Coding Auditor

Baltimore, MD · On-site

$27 - $30.75/hr

Health systems, hospitals and medical clinics are under immense pressure to improve clinical ... The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing ...

Huron Consulting Group

Inpatient Coding Auditor

Omaha, NE · On-site

$26 - $29.75/hr

Health systems, hospitals and medical clinics are under immense pressure to improve clinical ... The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing ...

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Hospital Auditor information

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How much do hospital auditor jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for hospital auditor in the United States is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $19.23 per hour, depending on experience, location, and employer.

What is a hospital auditor?

Hospital auditors are professionals responsible for reviewing and evaluating the financial, operational, and compliance practices of hospitals. They examine records to ensure accuracy in billing, coding, and documentation, and verify that hospital operations comply with laws, regulations, and internal policies. Their work helps identify areas of risk, prevent fraud, and ensure efficient use of resources, ultimately supporting the hospital’s financial integrity and quality of care.

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

To thrive as a Hospital Auditor, you need in-depth knowledge of healthcare regulations, medical billing, and auditing principles, often supported by a degree in accounting, finance, or healthcare administration. Familiarity with auditing software, electronic health records (EHR) systems, and certifications such as Certified Internal Auditor (CIA) or Certified Professional Medical Auditor (CPMA) is highly valuable. Strong attention to detail, critical thinking, and effective communication skills help auditors identify discrepancies and explain findings to stakeholders. These competencies are crucial for ensuring regulatory compliance, minimizing financial risk, and maintaining the integrity of hospital operations.

What are the most common challenges hospital auditors face when reviewing medical billing and coding practices?

Hospital auditors often encounter challenges such as incomplete documentation, inconsistent coding standards across departments, and rapidly changing healthcare regulations. These factors can make it difficult to ensure billing accuracy and compliance with government and payer requirements. Auditors must stay current with updates to coding systems (like ICD-10 and CPT), collaborate closely with medical staff to clarify records, and provide feedback to improve processes. Attention to detail and strong communication skills are essential to overcome these obstacles and help hospitals minimize financial risk.

What is the difference between Hospital Auditor vs Medical Billing Specialist?

AspectHospital Auditor
CertificationsCPMA, CHC, or similar healthcare compliance certifications
Work EnvironmentHospitals, healthcare facilities, auditing firms
Primary ResponsibilitiesReviewing medical records, ensuring billing accuracy, compliance with regulations
Employer & Industry UsageHealthcare providers, insurance companies, government agencies

While both Hospital Auditors and Medical Billing Specialists work within healthcare finance, Hospital Auditors focus on reviewing billing and coding accuracy for compliance and reimbursement, often requiring certifications like CPMA. Medical Billing Specialists primarily handle billing processes and patient invoicing. The roles differ in scope, with Hospital Auditors emphasizing audit and compliance functions, whereas Billing Specialists focus on billing operations.

How do you become a hospital auditor?

To become a hospital auditor, typically a candidate needs a bachelor's degree in health administration, accounting, or a related field, along with experience in healthcare finance or auditing. Professional certifications such as Certified Healthcare Auditor (CHA) or Certified Public Accountant (CPA) can enhance job prospects. Strong analytical skills and knowledge of healthcare regulations are also important for success in this role.
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Hospital Auditor jobs near you
Infographic showing various Hospital Auditor job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 4% As Needed, 69% Full Time, 18% Part Time, and 8% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.

Claim Auditor I

Fort Worth, TX • On-site

Cook Children's Health Care System
Health Care and Social Assistance • 5 - 10K employees
Learn more about Cook Children's Health Care Systemexternal

Full-time

Re-posted 22 days ago

Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

Job description

Location:

Calmont Operations Building

Department:

Reimbursement Analysis

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.

Additional Information:

  • The Claim Auditor I is responsible for auditing behavioral and medical claims and ensuring quality metrics are met by conducting post claims reviews on posted claims for Texas Medicaid and CHIP programs. The Claim Auditor I is responsible for auditing a set claim sampling on a monthly basis of routine to moderate complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and HCFA CMS 1500 claim forms not limited to behavioral health, physician, Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor is also responsible for pre-auditing high dollar claims to ensure claim payment is accurate before releasing the claim for payment. The Claim Auditor I is also responsible for communicating audit results to the Reimbursement and Analysis Manager in a structured report format within required timelines. Results of the audits are to be communicated to the Claims Department. The individual in this position performs all job functions in accordance with HIPPA and security rules as it relates to protected health information and has a thorough understanding of claims life cycle.


Education:

  • Associates degree required or a minimum of 5 years of claims/audit experience which includes experience with federal programs (Medicaid, CHIP) or in a health plan/payor environment preferred. 7-10 years of medical claims processing, claim adjudication, coordination of benefit plan, medical terminology and coding.
  • Must have strong organizational skills, problem solving and decision-making skills. Advanced knowledge of claim adjudication and benefit plan application for Medicaid and CHIP programs.
  • Microsoft Office skills including Word, Excel and Access. Excellent customer service skills with ability to explain complicated benefit issues to staff and providers.

Certification/Licensure:

About Us:

Cook Children's Health Plan

Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

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About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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