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Medicaid Auditor Jobs (NOW HIRING)

Moms in Motion

Internal Auditor

Front Royal, VA · On-site

Internal Auditor Department: Quality Assurance & Compliance Reports To: Director of Compliance ... Monitor compliance with Medicaid Waiver requirements, DMAS regulations, company policies, and ...

Communicarehealth

Medicaid Biller

Indianapolis, IN · On-site

PURPOSE/BELIEF STATEMENT The position of Medicaid Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.

MMC Group

DRG Auditor

San Antonio, TX · Remote

... Medicaid Clients. DRG Validation Auditors are charged with rendering appropriate, well-supported, and thoroughly-documented decisions, which may result in identification of improper payments ...

University Health

Claims Auditor

San Antonio, TX · On-site

$19.55 - $29.75/hr

Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs ... Previous auditing and/or Amisys experience preferred.

University Health

Claims Auditor

San Antonio, TX · On-site

$19.55 - $29.75/hr

Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs ... Previous auditing and/or Amisys experience preferred.

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Medicaid Auditor information

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$10

$19

$46

How much do medicaid auditor jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for medicaid 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 the difference between Medicaid Auditor vs Medicaid Claims Processor?

AspectMedicaid AuditorMedicaid Claims Processor
CredentialsRelevant certifications (e.g., CPA, auditing credentials), knowledge of Medicaid regulationsBasic healthcare or administrative certifications, familiarity with claims processing systems
Work EnvironmentOffice-based, auditing Medicaid records and complianceOffice or healthcare facility, processing Medicaid claims and data entry
Employer & IndustryGovernment agencies, healthcare organizations, insurance companiesHealthcare providers, insurance companies, Medicaid agencies
Search & Comparison IntentUnderstanding auditing roles, compliance, and regulationsProcessing claims, billing, and reimbursement procedures

Medicaid Auditors focus on reviewing and ensuring Medicaid compliance through audits, requiring specialized knowledge and certifications. Medicaid Claims Processors handle the entry and processing of claims, focusing on billing and reimbursement. Both roles are essential in Medicaid operations but differ in responsibilities and expertise.

What is a Medicaid auditor?

Medicaid Auditors are professionals who review and evaluate healthcare providers' records and billing practices to ensure compliance with Medicaid regulations. Their primary role is to detect and prevent fraud, waste, and abuse within the Medicaid program by conducting audits, analyzing claims, and verifying that services billed to Medicaid were actually provided and are properly documented. Medicaid Auditors may work for state or federal agencies, as well as private firms contracted by government entities. Their work helps ensure that Medicaid funds are used appropriately and that healthcare providers adhere to all relevant laws and policies.

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

To thrive as a Medicaid Auditor, you need a solid understanding of accounting principles, healthcare regulations, and Medicaid policies, typically supported by a degree in accounting, finance, or a related field. Familiarity with audit software, healthcare billing systems, and data analysis tools such as Excel or ACL is often required, along with relevant certifications like CPA or CFE being advantageous. Strong attention to detail, analytical thinking, and effective communication are critical soft skills that set top auditors apart. These competencies ensure accurate assessments, compliance with regulations, and the ability to detect and prevent fraud or financial discrepancies within Medicaid programs.

What are some common challenges faced by Medicaid auditors, and how can they be addressed?

Medicaid Auditors often encounter challenges such as navigating complex and frequently changing federal and state regulations, managing large volumes of data, and dealing with incomplete or inconsistent documentation from healthcare providers. To address these challenges, auditors must stay current with regulatory updates, develop strong analytical skills, and maintain clear communication with providers to obtain necessary records. Collaborating closely with compliance teams and participating in ongoing training can also help auditors effectively manage these complexities and ensure accurate, thorough audits.
More about Medicaid Auditor jobs
What cities are hiring for Medicaid Auditor jobs? Cities with the most Medicaid Auditor job openings:
What states have the most Medicaid Auditor jobs? States with the most job openings for Medicaid Auditor jobs include:
What job categories do people searching Medicaid Auditor jobs look for? The top searched job categories for Medicaid Auditor jobs are:
Medicaid Auditor jobs near you
Infographic showing various Medicaid Auditor job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 13% Part Time, and 4% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.

WE'RE HIRING - EXPERIENCED MEDICAID AUDITOR

Christian Sitters

Jackson, MS • On-site

Full-time

Posted 11 days ago

Job description


Immediate Opening – We are looking to hire ASAP!
Are you an experienced or retired Medicaid Auditor looking to work independently or join a growing healthcare team? Christian Sitters is seeking a highly qualified professional with extensive Medicaid auditing experience to help ensure compliance and regulatory excellence.
Qualifications:
  • 7 or more years of experience as a Medicaid Auditor or Healthcare Auditor
  •  In-depth knowledge of Medicaid regulations, compliance requirements, audits, and documentation
  • Proven experience reviewing healthcare provider records and ensuring regulatory compliance
  •  Strong analytical, organizational, and communication skills
  • Ability to work independently while maintaining the highest professional standards
What We Offer:
✅ Competitive salary
✅Flexible work environment
✅ Opportunity to make a meaningful impact with a growing healthcare organization
If you meet these qualifications or know someone who does, we'd love to hear from you!