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Insurance Auditor Jobs in Atlanta, GA (NOW HIRING)

Northside Hospital Inc.

Pro Fee Auditor

Atlanta, GA · On-site

The Auditor will follow Northside policy and procedure for annual audit schedules for both ... commercial insurance procedures * Ability to communicate both verbally and in writing with co ...

Peachtree Hospitality Management

Night Auditor

Kennesaw, GA · On-site

$13.75 - $18.50/hr

The Night Auditor will responsible to conduct all nightly audit-related duties while providing ... insurance. We also offer a generous 401(k) retirement match. To support work-life balance, we ...

Elevance Health

Senior Internal Auditor

Atlanta, GA · Hybrid

$81K - $101K/yr

Senior Internal Auditor Senior Internal Auditor Location: This role requires associates to be in ... Understanding of insurance company operations and regulations. * Experience working in a complex IT ...

Peachtree Hospitality Management

Night Auditor

Kennesaw, GA · On-site

$13.75 - $18.50/hr

The Night Auditor will responsible to conduct all nightly audit-related duties while providing ... insurance. We also offer a generous 401(k) retirement match. To support work-life balance, we ...

Voco The Darwin

Night Auditor

Atlanta, GA · On-site

$14.50 - $19.25/hr

Night Auditor Night Auditor responsibilities include all aspects of Guest Relations including the ... Medical Insurance * Dental Insurance * Vision Insurance * FREE life insurance * Vacation Pay

Hotel Indigo Atlanta

Night Auditor

Atlanta, GA · On-site

$14.25 - $19/hr

Night Auditor Night Auditor responsibilities include all aspects of Guest Relations including the ... Medical Insurance * Dental Insurance * Vision Insurance * FREE life insurance * Vacation Pay

Voco The Darwin - Atlanta Midtown

Night Auditor

Atlanta, GA · On-site

$14.50 - $19.25/hr

Night Auditor Night Auditor responsibilities include all aspects of Guest Relations including the ... Medical Insurance * Dental Insurance * Vision Insurance * FREE life insurance * Vacation Pay

TriNet

Senior Internal Auditor

Dunwoody, GA

$82K - $103K/yr

... insurance. TriNet has a nationwide presence and an experienced executive team. Our stock is ... The Senior Internal Auditor will also be responsible for auditing the company's Sarbanes-Oxley 404 ...

TriNet

Senior Internal Auditor

Atlanta, GA

$81K - $101K/yr

... insurance. TriNet has a nationwide presence and an experienced executive team. Our stock is ... The Senior Internal Auditor will also be responsible for auditing the company's Sarbanes-Oxley 404 ...

Elevance Health

Senior Internal Auditor

Atlanta, GA · Hybrid

$81K - $101K/yr

Senior Internal Auditor Location: This role requires associates to be in-office 1-2 days per week ... Understanding of insurance company operations and regulations. * Experience working in a complex IT ...

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Showing results 21-40

All JobsInsurance Auditor JobsInsurance Auditor Jobs in Atlanta, GA

Insurance Auditor information

See Atlanta, GA salary details

$17

$25

$43

How much do insurance auditor jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for insurance auditor in Atlanta, GA is $25.23, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $33.08 per hour, depending on experience, location, and employer.

How to become an insurance auditor?

The qualifications you need to become an insurance auditor include a bachelor’s degree in accounting, statistics, or a related field. It is a long career path that requires years of experience before certification. A strong background in economics, mathematics, and finance is part of the necessary qualifications for this job. You need accreditation from the Society of Actuaries and the Casualty Actuarial Society, depending on the type of insurance with which you work. Both organizations offer associate and fellow pathways for these credentials. Your advancement potential rests with their completion. Analytical skills and attention to detail are vital for ensuring accurate reporting.

What are the key skills and qualifications needed to thrive as an insurance auditor, and why are they important?

To thrive as an Insurance Auditor, a strong background in accounting, auditing principles, and insurance industry regulations—often supported by a bachelor’s degree in finance, accounting, or a related field—is essential. Familiarity with audit management software, Excel, and sometimes certifications such as CPA or CISA are typically required. Excellent analytical thinking, attention to detail, and clear communication help auditors effectively review records and interact with clients. These skills are crucial for ensuring compliance, identifying discrepancies, and maintaining the integrity of insurance processes.

What are some common challenges faced by insurance auditors during field audits, and how can they be managed?

Insurance Auditors often encounter challenges such as incomplete documentation, discrepancies in records, or clients who are unfamiliar with audit processes. To manage these, auditors should maintain clear communication with clients before and during the audit, outlining required materials and expectations. Staying organized, adapting to varying record-keeping practices, and using checklists or audit software can also help ensure accuracy and efficiency. Building rapport and demonstrating professionalism can make the process smoother for both auditors and clients.

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

AspectInsurance AuditorInsurance Claims Adjuster
CredentialsTypically requires a CPA, CPCU, or similar certificationsOften requires state licensing and adjuster certifications
Work EnvironmentPrimarily office-based, reviewing financial records and policiesField and office-based, investigating and settling claims
Industry UsageUsed mainly by insurance companies for compliance and financial accuracyUsed by insurance companies and public adjusters to evaluate claims

Insurance Auditors focus on reviewing insurance company financials and compliance, while Insurance Claims Adjusters evaluate individual claims to determine coverage and settlement. Both roles require specific certifications and work within the insurance industry, but their daily tasks and work environments differ significantly.

What does an insurance auditor do?

An insurance auditor reviews insurance policies, claims, and financial records to ensure accuracy and compliance with regulations. They analyze data, verify policy details, and assess risk to help insurance companies prevent fraud and maintain proper underwriting standards. Auditors often use specialized software and require attention to detail and knowledge of insurance laws.
More about Insurance Auditor jobs

What cities near Atlanta, GA are hiring for Insurance Auditor jobs?

Cities near Atlanta, GA with the most Insurance Auditor job openings:

Insurance Auditor jobs near you
Infographic showing various Insurance Auditor job openings in Atlanta, GA as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 66% In-person, 17% Hybrid, and 17% Remote job distribution, with an average salary of $52,481 per year, or $25.2 per hour.

Pro Fee Auditor

Northside Hospital Inc.

Atlanta, GA • On-site

Full-time

Re-posted 11 days ago

Northside Hospital rating

7.3

Company rating: 7.3 out of 10

Based on 450 frontline employees who took The Breakroom Quiz

305th of 898 rated healthcare providers

Job description

Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

This position provides the opportunity to be responsible for reviewing medical record documentation making sure that the CPT, ICD-10 and HCPCS codes and modifiers are correct for the selected claims. The Auditor will follow Northside policy and procedure for annual audit schedules for both physicians and practices. The Auditor is responsible for completing professional reports of their findings and delivering those results to physicians and leadership.

PRIMARY DUTIES AND RESPONSIBILITIES

  • Interprets and reviews medical record documentation to make sure the accurate ICD-10, CPT, HCPCS and assigned based on provider documentation.
  • Expertise in auditing using both the 1995 and 1997 E/M CMS Guidelines
  • Provides education to providers, practice staff, and coders as needed based on audit results.
  • Demonstrates knowledge of sequencing diagnoses and procedures as outlined in the Official Coding Guidelines, CPT, HCPCS Level II and CMS guidelines.
  • Demonstrate expert job knowledge and applies current coding and billing regulations, policies, processes, and procedures with effective decision-making and problem solving skills.
  • Maintains an accuracy rate of 90% or above for all work Quality Assurance reviews.
  • Complete assigned work in a timely manner and maintain departmental production standards.
  • Maintain open communication with Auditing Supervisor.
  • Proficient in public speaking, presentations, and educational activities Advanced knowledge of medical terminology, CPT and ICD-9-CM and HCPCS coding, Medicare, Medicaid  and commercial insurance procedures
  • Ability to communicate both verbally and in writing with co-workers as well as physicians. Demonstrated ability to explain complicated coding and compliance concepts.
  • Knowledge of Medicare and Medicaid policies required.
  • Must maintain a professional appearance and demeanor while working with physicians
  • High degree of accuracy and attention to detail Ability to work well under little guidance 
  • Objective and detailed approach to problem solving
  • Good investigative and organizational skills
  • Extensive experience and knowledge of inpatient and outpatient coding, billing and documentation requirements in large hospital systems
  • Advanced knowledge of medical records procedures and of federal and state laws governing medical records privacy and release of information
  • Skill in exercising initiative, judgment, and decision-making to achieve organizational objectives Skill in establishing and maintaining effective working relationships with physicians and staff
  • Ability to maintain confidentiality of sensitive information
  • Assist the Revenue Cycle Support Coordinator in setting prices for services and performing market rate studies
  • Assists Coordinators in Decision Support with other projects involving an analysis of patient charges and chart documentation using various clinical and financial systems to improve clinical benchmarking and revenue cycle activities
  • Critical thinking and problem solving skills are essential along with the ability to work independently, and with minimal supervision. Must be self-motivated and able to use electronic resources
Qualifications

REQUIRED:

  • B.S. degree in Nursing, Health Information Management, Healthcare Administration, Business Administration. Relevant years of work experience in the range of 8 - 10 years may be substituted for a B.S. degree.
  • Must have a coding or nursing credential (RHIA, RHIT, CPC, CCS, RN) or a financial background.
  • Must have minimum of 1 year hospital and/or physician practice coding experience.
  • Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel.
  • Knowledge of Microsoft Office products.

    • PREFERRED:

  • Certified Professional Medical Auditor (CPMA).
  • Three to five years' experience in a hospital and/or physician practice setting.
    • Work Hours (EX:7AM-7PM):8-5Weekend Requirements:NoOn-Call Requirements:NoEmployment Type: FULL_TIME

    What Northside Hospital employees say

    Pay

    Benefits

    Hours and flexibility

    Workplace

    Get the full story on Breakroom

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    About Northside Hospital

    Sourced by ZipRecruiter

    * 288-bed hospital, offering a full range of services including comprehensive and interventional stroke care, preventative and corrective cardiac care, full-service orthopedic and spine treatment, an ER 24/7®, and general surgery * As one of the first hospitals in the area to achieve Atrial Fibrillation Certification (SCPC), our technologically advanced hospital allows our highly skilled physicians, nursing and caregivers to serve our growing community * Northside Hospital was the first nationally recognized Comprehensive Stroke Center in Pinellas County and nationally recognized for quality and safety by earning an 'A' rating from the Leapfrog Group

    Industry

    Hospitals

    Company size

    10,000+ Employees

    Headquarters location

    Atlanta, GA, US

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