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How much do medical auditor jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medical auditor 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.

What Is a Medical Auditor?

The main job responsibilities of a medical auditor are to ensure that a healthcare facility complies with all industry regulations. As a medical auditor, you audit coding, billing, and organization systems to ensure accuracy. Additional auditing duties consist of analyzing medical records, Medicare programs, and billing records. A medical auditor’s primary objective is to maintain quality by recommending improvements to medical coding systems. The job is mostly performed alone, although some collaboration with other auditors as well as medical office managers is sometimes necessary.

What are some common challenges faced by Medical Auditors in ensuring compliance with healthcare regulations?

Medical Auditors often encounter challenges such as keeping up-to-date with constantly evolving healthcare regulations, accurately interpreting complex medical documentation, and ensuring consistency in coding and billing practices across departments. They must also effectively communicate findings to both clinical and administrative staff, which can require strong interpersonal skills. Overcoming these challenges requires continuous education, attention to detail, and collaboration with other healthcare professionals to promote a culture of compliance.

What are Medical Auditors?

Medical Auditors are professionals who review and analyze healthcare records, billing data, and coding practices to ensure accuracy, compliance, and proper reimbursement. They help healthcare organizations identify errors, prevent fraud, and adhere to regulations such as HIPAA and Medicare guidelines. Medical Auditors may work in hospitals, clinics, insurance companies, or as independent consultants, and often have backgrounds in health information management, coding, or nursing. Their work is essential for maintaining high standards in healthcare documentation and financial integrity.

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

To thrive as a Medical Auditor, you need a strong understanding of medical coding, billing regulations, healthcare compliance, and typically a degree in health information management or a related field. Familiarity with coding systems like ICD-10, CPT, and healthcare auditing software, as well as certifications such as Certified Professional Medical Auditor (CPMA), are highly valuable. Attention to detail, analytical thinking, and effective communication are crucial soft skills for identifying discrepancies and discussing findings with healthcare professionals. These skills ensure accurate billing, regulatory compliance, and the financial integrity of healthcare organizations.

What is the difference between Medical Auditor vs Medical Coder?

AspectMedical AuditorMedical Coder
Required CredentialsCertification (e.g., CCA, RHIT), relevant experienceCertification (e.g., CPC, CCS), coding training
Work EnvironmentHealthcare facilities, insurance companies, auditing firmsHospitals, clinics, physician offices
Industry UsageAuditing medical records for compliance and reimbursementAssigning medical codes for billing and documentation

Medical Auditors and Medical Coders both work within healthcare settings and require certifications. While Medical Auditors review records for compliance and reimbursement accuracy, Medical Coders focus on translating medical documentation into codes for billing. Both roles are essential in healthcare revenue cycle management but differ in their primary functions and responsibilities.

What degree do you need to be a medical auditor?

A medical auditor typically needs at least a bachelor's degree in health administration, health information management, nursing, or a related healthcare field. Relevant certifications, such as the Certified Professional Coder (CPC) or Certified Medical Auditor (CMA), can also enhance job prospects and demonstrate expertise. Strong knowledge of medical coding, billing, and healthcare regulations is essential for this role.
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Medical Auditor jobs near you
Infographic showing various Medical Auditor job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 75% Full Time, 15% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $44,967 per year, or $21.6 per hour.
Certified Medical Auditor

Certified Medical Auditor

Beyond Podiatry

New Baltimore, MI • On-site

$75K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description

Description:

A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations.

Requirements:

Key Responsibilities:


Medical Documentation Review:

  • Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation.
  • Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information.
  • Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and compliance with healthcare regulations (e.g., HIPAA, Medicare, Medicaid).

Compliance Assessment:

  • Evaluate medical documentation for compliance with industry standards, hospital policies, and governmental regulations.
  • Assess policy adherence and procedural efficiency, upholding data integrity through audits and scrutinizing a range of medical documentation.
  • Identify and report any discrepancies or potential compliance issues, recommending corrective actions as needed.

Billing and Claims Audit:

  • Analyze medical claims data and associated documentation by conducting continuous auditing with analyses to prevent and address discrepancies and non-conformities in billing and provider chart documentation.
  • Evaluate coding and documentation to identify recommendations for provider improvement.
  • Document audit findings and suggest any applicable changes and/or opportunities for documentation improvement.
  • Recognize and identify trends in billing and documentation at both the practice and provider levels.

Education and Communication:

  • Assist in providing coding knowledge to providers and billing departments as needed.
  • Collaborate and communicate verbally and in writing to deliver audit findings, clearly articulating rationale supported by evidence of conclusions.

Knowledge and Compliance with Coding Standards:

  • Maintain current knowledge of CMS policies and coding applications for CPT, ICD-10, HCPCS, and other applicable coding standards for medical claims.
  • Compilation of applicable CMS fees and audit findings/results for tracking accuracy and provider productivity analysis.


Qualifications:

  • Certified as a CPMA
  • 3+ years of experience in healthcare
  • Detailed oriented, attention to detail and ability to multi-task
  • Good written and verbal communication skills


Benefits:

  • 401(k)
  • AD&D insurance
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Disability insurance
  • Employee assistance program
  • Health savings account
  • Life insurance
  • Paid time off