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Medical Auditor Jobs (NOW HIRING)

Sprinter Health

Medical Auditor - Remote

Menlo Park, CA · Remote

$36/hr

About the Role As a Medical Coding Auditor, you will be responsible for conducting routine and focused audits of medical coding to ensure compliance, accuracy, and quality. You'll play a critical ...

Ourhrconnect

Quality Medical Auditor

Columbia, SC · Remote

Summary Performs validation reviews of Diagnosis Related Groups (DRG), Ambulatory Procedure Codes (APC), and Never Events (serious, preventable medical errors) for all lines of business. Coordinates ...

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How much do medical auditor jobs pay per hour?

As of Aug 14, 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 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.

Is medical auditing a good career?

Medical auditing is a growing field that involves reviewing healthcare claims and medical records to ensure accuracy and compliance. It often requires knowledge of healthcare regulations, attention to detail, and certifications such as the Certified Professional Medical Auditor (CPMA). The role offers stable employment opportunities and can lead to advancement in healthcare administration.

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.

How much do medical chart auditors make?

Medical chart auditors typically earn between $50,000 and $70,000 annually, depending on experience, certification, and location. Salaries can vary based on the employer and whether the role is full-time or part-time, with some auditors earning higher with specialized skills or advanced certifications.

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 attention to detail and knowledge of medical coding and billing are essential skills 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 August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $44,967 per year, or $21.6 per hour.

Medical Auditor - Remote

Sprinter Health

Menlo Park, CA • Remote

$36/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

Job description

About Sprinter Health

At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can’t get to a doctor’s office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year.

By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we’ve supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway.

About the Role

As a Medical Coding Auditor, you will be responsible for conducting routine and focused audits of medical coding to ensure compliance, accuracy, and quality. You'll play a critical role in providing education and feedback to coders and providers to improve documentation and coding accuracy.

Location: Remote
Level: Associate, Medical Coding Auditor
Team: Coding Department

What You Will Do

  • Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and organizational standards.

  • Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.

  • Assist with internal and external audit preparation and response, including documentation requests and validation reviews.

  • Maintain audit tracking logs, productivity reports, and accuracy metrics in accordance with company policies.

  • Review medical records, claims data, and provider documentation to assess the accuracy of ICD-10-CM, CPT, HCPCS, and modifier assignment.

  • Identify coding errors, trends, and opportunities for improvement; prepare detailed audit reports with actionable findings.

  • Develop and deliver education and feedback to coders and providers to improve documentation quality and coding accuracy.

  • Assist with internal and external audit preparation and response, including documentation requests and validation reviews.

  • Maintain audit tracking logs, productivity reports, and accuracy metrics in accordance with company policies.

  • Stay current with AAPC, AHIMA, CMS, and OIG guidelines, as well as payer policy changes and HCC model updates.

  • Uphold all HIPAA, privacy, and compliance standards in handling patient data and audit documentation,

You’ll Love this Job If…

  • You have an eye for detail and take pride in upholding the highest standards of coding accuracy and compliance.

  • You’re motivated by the impact your work has on data integrity, provider education, and overall care quality.

  • You enjoy analyzing trends, identifying opportunities for improvement, and helping others strengthen their documentation and coding practices.

  • You thrive in a tech-forward, mission-driven environment where innovation and accountability go hand in hand.

  • You’re comfortable working independently in a remote setting, yet you value being part of a collaborative, growth-oriented team.

  • You love the idea of transforming complex audit findings into meaningful insights that drive better outcomes and operational excellence.

  • Most of all, you’re energized by the chance to make a real difference — ensuring that accurate, ethical coding supports Sprinter Health’s mission to deliver care where patients need it most.

What We’re Looking For

  • Certification: Active AAPC (CPC) or AHIMA (CCS-P, CCS) certification.

  • Experience: Minimum 3 years of medical coding experience, with at least 1-2 years in a coding audit, QA, or compliance capacity.

  • Strong understanding of HCC / risk adjustment coding principles, clinical documentation improvement, and coding validation practices.

  • Excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology.

  • Deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment.

  • Ability to work independently and maintain productivity in a remote setting

  • Strong communication and problem-solving skills

  • Proficient in EHR systems, encoder/coding software, and Google tools.

  • Reliable internet connection and dedicated, secure workspace

Technologies We Use

  • EMR: Elation

  • Google Suite (docs, slides, sheets)

 
 
Benefits

  • $36 base salary

  • 100% paid health, dental, vision premiums (for families too)

  • Generous parental leave (4 months for birthing parent, 2 months for partners)

  • 401(k) with company match

  • Unlimited PTO + flexible schedule

 
 

Sprinter Health is an equal opportunity employer. We value diversity and do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or other protected characteristics.