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Medical Auditor Jobs (NOW HIRING)

BHC ISC

PBO Coding Educator & Auditor

Fort Lauderdale, FL · On-site

$26 - $29.75/hr

Certified Professional Medical Auditor * Specialized Credentialing through AAPC Visit us online at www.BrowardHealth.org or contact Talent Acquisition *Bonus Exclusions may apply in accordance with ...

LMH Health

Medical Coding Auditor

Lawrence, KS

Job Summary The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ...

LMH Health

Medical Coding Auditor

Lawrence, KS · On-site

Job Summary The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ...

Modernizing Medicine, Inc.

Medical Coding Auditor

ModMed is hiring a driven Medical Coding Auditor to join our positive, passionate, and high-performing BOOST Services team focused on delivering top-tier coding compliance and accuracy for our ...

TidalHealth

PB Coding Auditor

Salisbury, MD · On-site

$28.26 - $43.81/hr

Certified Professional Medical Auditor (CPMA) or Equivalent AHIMA certification (CCS, CCS-P) is ... preferred. Experience * At least five (5) years inpatient/outpatient coding experience serving in a ...

TidalHealth

PB Coding Auditor

Salisbury, MD · On-site

$58K - $91K/yr

Certified Professional Medical Auditor (CPMA) or Equivalent AHIMA certification (CCS, CCS-P) is ... preferred. Experience * At least five (5) years inpatient/outpatient coding experience serving in a ...

Wellpath

Senior Compliance Coding Auditor

Santa Maria, CA · On-site

$70K - $96K/yr

Certified Professional Medical Auditor**California (CA) CalAIM experience/knowledge highly preferred** $70,000 - $96,000 per year Qualifications & Requirements Education * Bachelor's degree in Health ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · Remote

$70K - $107K/yr

This involves completing medical record reviews, accurately documenting findings and non-findings ... The Clinical Auditor will review medical records to determine accuracy of billing through ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · Remote

$70K - $107K/yr

This involves completing medical record reviews, accurately documenting findings and non-findings ... The Clinical Auditor will review medical records to determine accuracy of billing through ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · On-site

$70K - $107K/yr

This involves completing medical record reviews, accurately documenting findings and non-findings ... The Clinical Auditor will review medical records to determine accuracy of billing through ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · On-site

$70K - $107K/yr

This involves completing medical record reviews, accurately documenting findings and non-findings ... The Clinical Auditor will review medical records to determine accuracy of billing through ...

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How much do medical auditor jobs pay per hour?

As of Jul 24, 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.

How much do medical auditors make?

Medical auditors in Texas typically earn an average salary ranging from $55,000 to $75,000 annually, depending on experience, certifications, and employer. Salaries can vary based on location, industry, and level of expertise, with some experienced auditors earning over $80,000.

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 type of auditor makes the most money?

In the auditing field, forensic auditors and senior healthcare auditors tend to earn the highest salaries due to their specialized skills and experience. Medical auditors with advanced certifications and extensive experience in healthcare compliance and billing often command higher pay compared to general auditors.

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 does a medical auditor do?

A medical auditor reviews healthcare records, billing, and coding to ensure accuracy, compliance with regulations, and proper reimbursement. They analyze medical documentation, identify errors or discrepancies, and often use auditing tools or software to support their assessments. This role requires attention to detail and knowledge of healthcare policies and coding standards.

Do you need a degree to be a medical auditor?

A degree is often preferred for medical auditor positions, with many employers requiring at least an associate's or bachelor's degree in health information management, nursing, or a related field. Relevant certifications, such as the Certified Professional Coder (CPC) or Certified Medical Auditor (CMA), can also enhance job prospects. Strong knowledge of medical coding, billing, and healthcare regulations is essential for success in this role.
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Medical Auditor jobs near you
Infographic showing various Medical Auditor job openings in the United States as of July 2026, with employment types broken down into 26% Locum Tenens, 66% Full Time, 6% Part Time, 1% Contract, and 1% Summer. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $44,967 per year, or $21.6 per hour.

Medical Coding Auditor

Xtensys Connected Health Solutions

Ithaca, NY • Remote

$67K - $76K/yr

Full-time

Posted 26 days ago

Job description

Who We Are

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

We are seeking an experienced Medical Coding Auditor to support our continued growth and commitment to deliver exceptional client outcomes.

Why Join Us?

Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.

Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.

A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.

Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

The Role:

Your Mission: As our next Medical Coding Auditor, you will be responsible for reviewing and auditing documentation and coding across multiple specialties, ensuring accuracy through the appropriate use of CPT, ICD-10-CM, HCPCS, and modifiers.

What You’ll Do Day-to-Day:

In this role, you will deliver audit reports, provide provider education, and support coders in addressing identified compliance opportunities. Coding responsibilities may also be assigned as needed to support overall team priorities.

The ideal candidate brings a strong attention to detail and a commitment to accuracy when reviewing medical records and assigning codes. Clear written and verbal communication skills are essential to effectively collaborate with physicians and healthcare providers.

Who You Are & What You’ll Bring

Proven Track Record:

You bring 3–5 years of coding experience, with a strong working knowledge of ICD-10, CPT-4, and HCPCS coding within a physician billing environment. You’re confident in your understanding of current E/M guidelines and specifications, and you apply that knowledge with accuracy and consistency.

Experience with reimbursement and billing across Medicare Part B, Medicaid, and other third-party payers is highly valued, as is familiarity with data entry in a physician billing setting.

You bring a detail-oriented mindset and a commitment to accuracy, ensuring high-quality outcomes in every aspect of your work.

Education/Certifications:

You have a high school diploma or equivalent, along with additional coursework through recognized coding seminars or programs.

Current coding certification from AAPC or AHIMA (such as RHIT, CCS, CPC, etc.) is required.

Auditing certification (CCA, CPMA, or Certified Professional Medical Auditor) is a plus.

Technical Savvy:

Revenue Cycle Systems Knowledge: Understanding of billing platforms and claim workflows—how coding feeds into reimbursement, denials, and appeals within the revenue cycle.

Experience with Epic is a plus.

Demonstrated strong analytical skills are required, with intermediate to advanced Excel proficiency to support data analysis, reporting, and insight generation.

Travel Requirements: No travel required

Physical Readiness: Capability for sedentary work, including sitting for long periods and occasionally exerting up to 10 pounds of force.

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