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Insurance Auditor Physical Therapy Jobs in Riverside, CA

Physical therapists help patients restore mobility, manage pain, and improve their quality of life ... Complete required documentation for insurance billing, progress reports, and discharge summaries.

Physical therapists help patients restore mobility, manage pain, and improve their quality of life ... Complete required documentation for insurance billing, progress reports, and discharge summaries.

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Insurance Auditor Physical Therapy information

See Riverside, CA salary details

$18

$27

$47

How much do insurance auditor physical therapy jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for insurance auditor physical therapy in Riverside, CA is $27.37, according to ZipRecruiter salary data. Most workers in this role earn between $19.33 and $35.87 per hour, depending on experience, location, and employer.

What is an insurance auditor physical therapy?

Insurance Auditor Physical Therapy jobs involve reviewing and verifying the billing, documentation, and compliance of physical therapy services submitted to insurance companies. These professionals ensure that claims are accurate, adhere to regulatory guidelines, and prevent fraud or overbilling. They analyze patient records, treatment plans, and billing codes to confirm that services provided match what was billed. Insurance auditors may work directly for insurance companies, third-party agencies, or as independent consultants.

What are the key skills and qualifications needed to thrive as an insurance auditor physical therapy?

To excel as an Insurance Auditor for Physical Therapy, you need a strong understanding of healthcare billing, coding (such as CPT/ICD-10), and regulatory compliance, usually supported by a degree in healthcare administration or a related field. Familiarity with auditing software, electronic health records (EHRs), and knowledge of Medicare/insurance guidelines are essential, and certifications like Certified Professional Medical Auditor (CPMA) can be valuable. Attention to detail, analytical thinking, and effective communication are crucial soft skills for identifying discrepancies and collaborating with providers. These competencies ensure accurate claim reviews, minimize fraud or errors, and help maintain compliance with industry standards.

What are some common challenges faced by insurance auditors specializing in physical therapy claims?

Insurance Auditors in the physical therapy sector often encounter challenges such as interpreting complex medical documentation, staying updated with frequently changing billing regulations, and ensuring compliance with both payer and federal guidelines. They may also need to effectively communicate audit findings to both clinical staff and insurance providers, sometimes navigating disagreements or clarifying misunderstandings. Strong attention to detail and ongoing education in both insurance and clinical coding standards are essential to succeed in this role.

What is the difference between Insurance Auditor Physical Therapy vs Insurance Claims Adjuster?

AspectInsurance Auditor Physical TherapyInsurance Claims Adjuster
Required CredentialsLicenses or certifications in physical therapy, auditing experienceAdjuster licenses, insurance certifications
Work EnvironmentHealthcare settings, insurance companies, remote auditingInsurance companies, claims offices, remote or field work
Employer & Industry UsageHealthcare insurers, third-party administratorsInsurance carriers, third-party administrators
Common Search & Comparison IntentAuditing physical therapy claims, verifying therapy billingEvaluating insurance claims, settling claims

Insurance Auditor Physical Therapy focuses on reviewing and verifying physical therapy claims for accuracy and compliance, often requiring healthcare and auditing credentials. Insurance Claims Adjusters handle a broader range of insurance claims, including health, auto, and property, with a focus on evaluating and settling claims. While both roles involve insurance and claims processing, their work environments and specific expertise differ significantly.

What cities near Riverside, CA are hiring for Insurance Auditor Physical Therapy jobs?

Cities near Riverside, CA with the most Insurance Auditor Physical Therapy job openings:

Licensed Physical Therapy Assistant - Full-Time at Gulf Side Physical Therapy

Gulf Side Physical Therapy

Santa Ana, CA

$60K - $75K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago


Job description

Position Overview

Gulf Side Physical Therapy is excited to announce an opening for a Licensed Physical Therapy Assistant (PTA) in Santa Ana, California. In this full-time role, you will work collaboratively with a team of skilled healthcare professionals, actively participating in patient rehabilitation processes and contributing to improved health outcomes. If you possess compassion, dedication, and the desire to enhance patient mobility, we welcome your application.

About the Organization

Gulf Side Physical Therapy is a leading healthcare provider known for its commitment to quality and patient-centric care. Situated in Santa Ana, our facility is designed to be welcoming and equipped with state-of-the-art therapy technology. Our vision is to empower individuals to regain their independence and improve their quality of life through tailored physical therapy solutions.

Work Environment

As a Physical Therapy Assistant at our hospital-based facility, you will operate in a dynamic, fast-paced onsite setting. Your work schedule will be Monday through Friday from 9 AM to 5 PM, allowing for a balanced personal life while dedicating your skills to patient care. You will be surrounded by specialists, physicians, and other healthcare providers who are committed to a collaborative approach in treating patients.

Key Responsibilities
  • Assist licensed physical therapists in the implementation of individualized treatment plans addressing diverse patient needs, including those recovering from surgical interventions or managing chronic conditions.
  • Guide patients through exercise routines during therapy sessions, ensuring proper technique to maximize results and prevent injuries.
  • Regularly assess and document patient progress, communicating key observations and any concerns to the supervising physical therapist for ongoing treatment adjustments.
  • Educate patients and their families on safe at-home care strategies, including injury prevention techniques and tailored exercise programs to maintain independence.
  • Maintain a clean and organized therapy environment, ensuring all equipment is sanitized and adequately set up for treatment to provide the highest standard of care.
  • Adhere to all state and federal regulations, including strict adherence to HIPAA guidelines, ensuring patient privacy and professional integrity at all times.
Patient Population / Client Focus

At Gulf Side Physical Therapy, our primary focus is on diverse patient populations, from post-operative recovery patients to those managing long-term physical impairments. You will have the opportunity to work closely with individuals of all ages, including pediatric to geriatric, allowing you to make a significant impact on their healthcare journey and rehabilitation progress.

Qualifications
  • Successful completion of a Bachelor's Degree in a related field, followed by an accredited Physical Therapy Assistant program.
  • A valid Physical Therapy Assistant license in California, or eligibility for licensure.
  • Current CPR/BLS certification or willingness to obtain certification upon hire to ensure patient safety during therapy.
  • Strong interpersonal and communication skills, enabling effective collaboration with patients and other healthcare professionals.
  • Demonstrated empathy, patience, and a genuine commitment to helping patients achieve their rehabilitation goals throughout their journey.
Preferred Experience
  • A minimum of 2 years of relevant clinical experience in a physical therapy setting is preferred, though newly licensed PTAs are encouraged to apply if they are passionate about patient care.
  • Familiarity with electronic health records (EHR) systems to streamline documentation processes, enhancing efficiency and accuracy.
Compensation and Benefits
  • Competitive salary ranging from $60,000 to $75,000 per year based on experience and qualifications.
  • Comprehensive health insurance, including dental and vision coverage, ensuring you and your family have access to essential healthcare services.
  • 401(k) retirement plan with employer matching contributions, supporting your long-term financial health.
  • Generous paid time off and holiday policies, promoting a healthy work-life balance.
  • Continuing education unit (CEU) reimbursement programs and access to clinical mentorship, supporting your ongoing professional development.
Career Growth Opportunities

At Gulf Side Physical Therapy, we believe in nurturing talent and providing pathways for growth. Our team members are encouraged to pursue advanced certifications and specializations. As you demonstrate your capabilities, there are real opportunities for advancement into leadership roles, such as becoming a lead PTA or a supervisory position within our practice.

Why Join Our Team

Working at Gulf Side Physical Therapy means becoming part of a collaborative, patient-focused team that values your contributions. We foster a supportive and inclusive environment where your skills and time matter. If you want to join a healthcare setting that prioritizes individual care and empowers you to make a difference in patients' lives, we would love to hear from you.

Application Information

If you are a licensed Physical Therapy Assistant who is ready to take the next step in your career and work in a place that genuinely values individual care, please submit your resume and a cover letter detailing your experience and vision for patient care at Gulf Side Physical Therapy.