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Medical Audit Jobs (NOW HIRING)

YesCare

Medical Director Physician

Las Cruces, NM

Regional Medical Director (RMD) is primarily accountable for quality and of medical care provided ... audits. * Adherence to UM programs specific to the contract requirements and corporate's UM and ...

UHS

Tech - Mammography

Riverside, CA

... Medical Audit and patient abnormality followed-up based on MQSA protocol. 10. Ensure that patient history is correct and supplied to the Radiologist for interpretation. 11. Assist with Quality ...

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How much do medical audit jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for medical audit in the United States is $21.62, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $27.40 per hour, depending on experience, location, and employer.
Infographic showing various Medical Audit job openings in the United States as of July 2026, with employment types broken down into 3% Locum Tenens, 90% Full Time, 4% Part Time, 1% Temporary, and 2% Contract. Highlights an 85% Physical, 6% Hybrid, and 9% Remote job distribution, with an average salary of $44,967 per year, or $21.6 per hour.
Certified Medical Audit Specialist

Certified Medical Audit Specialist

Universal Health Corporation

Roanoke, VA • On-site

$60K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

About the Role:


We are seeking a highly skilled Certified Medical Audit Specialist to join our team. In this role, you will be responsible for conducting comprehensive audits of medical records, billing practices, and documentation to ensure accuracy, compliance, and optimal reimbursement. The ideal candidate is detail-oriented, analytical, and knowledgeable about healthcare regulations and payer requirements.

Key Responsibilities:

  • Perform detailed audits of medical records and billing data to ensure compliance with federal, state, and payer regulations.
  • Verify accuracy of coding, documentation, and claim submissions.
  • Identify patterns of incorrect coding, documentation gaps, or billing inconsistencies.
  • Prepare clear, comprehensive audit reports and present findings to leadership and providers.
  • Collaborate with clinical and administrative staff to educate on audit outcomes and corrective actions.
  • Stay current on regulatory changes, coding updates, and industry standards.
  • Recommend process improvements to reduce audit risk and enhance documentation quality.
  • Support internal compliance initiatives and participate in targeted or random audit projects.

Qualifications:

  • Certification Preferred: Certified Medical Audit Specialist (CMAS) or equivalent.
  • Proven experience in medical auditing, clinical documentation review, or healthcare compliance.
  • Strong understanding of CPT, ICD-10-CM, HCPCS, and payer billing guidelines.
  • Excellent analytical, organizational, and communication skills.
  • Ability to work independently, manage multiple audits, and meet deadlines with accuracy.
  • Proficiency with EHR systems, audit software, and Microsoft Office Suite.

Preferred Skills:

  • Experience in auditing within specialty practices (e.g., primary care, behavioral health, urgent care).
  • Additional certifications (e.g., CPC, CPMA, RHIT, CCS) are a plus.
  • Knowledge of Medicare, Medicaid, and commercial payer rules.

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance