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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 ...

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 ...

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 ...

Exceptional Healthcare Inc.

Senior ER Coding Auditor

Dallas, TX · On-site

$27 - $30.75/hr

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and ...

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How much do medical auditor jobs pay per hour?

As of Jul 1, 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 June 2026, with employment types broken down into 100% Full Time. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $44,967 per year, or $21.6 per hour.
Professional Documentation Improvement Auditor

Professional Documentation Improvement Auditor

Ardent Health

Brentwood, TN

Full-time

Posted 19 days ago

Ardent Health Services rating

6.7

Company rating: 6.7 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

522nd of 877 rated healthcare providers

Job description

Overview

Ardent Health is a leading provider of healthcare in communities across the country. With a focus on consumer-friendly processes and investments in innovative services and technologies, Ardent is passionate about making healthcare better and easier to access. We are driven by our purpose of caring for people: our patients, our communities and one another.

Located in Brentwood, Tennessee, Ardent has earned a reputation as one of the industry's strongest and most innovative healthcare systems. Our facilities and clinics are consistently recognized among healthcare's best employers. We recognize each hospital and clinic is as unique as the community it serves. We strive to maintain strong community ties through advisory boards, contributions, charitable care, education and outreach.

Ardent includes:

  • 30 hospitals
  • 280 sites of care
  • 4,281 beds
  • 24,000+ team members
  • 8,200+ nurses
  • 1,800+ aligned providers
  • 5.8M annual provider encounters
  • 421 medical residents

Ardent makes considerable investments in people, technology, facilities, and communities, producing high quality care and extraordinary results. From newly constructed facilities and expanded services, to lifesaving technology and outstanding opportunities for employees, Ardent is committed to providing its hospitals and clinics the tools needed to succeed.

We believe it is this mix of corporate support and local autonomy that equips our teams for success.

POSITION SUMMARY

The Professional Documentation Improvement Auditor specializes in reviewing and analyzing medical records, claims and workflow processes to ensure accuracy, completeness, and compliance with regulatory requirements. The primary goal is to improve the quality of clinical documentation, which plays a crucial role in patient care, compliance, billing, coding, and reimbursement processes.

Responsibilities
  • Using audit tools, authoritative references, CMS and CPT guidelines, bell curves, etc. to analyze for trends, audit providers and coders, and provide education/feedback individually or in a group setting.
  • Adhering to policies, procedures and regulations to ensure compliance.
  • Audits provider services using auditing tools such as EncoderPro and MD Audit.
  • Adheres to provider auditing schedules and audit production standards set by Physician Compliance and Audit Services Director or the Physician Audit Managers.
  • Maintains provider scoring results.
  • Provides standard documentation on education feedback to providers in a timely manner. 
Qualifications

Job Requirements:

  • Associate's Degree
    • Additional years of experience may substitute for the required education on a year-for-year basis
  • 3+ years auditing experience or 5 years of coding E&M levels of service (multi-specialty, including office visits, preventive services, surgical procedures and hospital inpatient and observation services.
  • CPC (Certified Professional Coder) or equivalent certification
  • Revenue Cycle experience, preferred.
  • Auditing certification (e.g. CPMA-Certified Professional Medical Auditor), strongly preferred.
  • Additional specialty specific certifications (e.g. CCC - Certified Cardiology Coder, COBGC - Certified OB/GYN Coder), strongly preferred
  • E&M /Procedure/Surgery Auditing/Critical Care/Specialty Specific/Skewed Productivity Curves
  • Application and validation of ICD-10 diagnosis codes based on coding guidelines

Preferred Job Requirements:

  • Revenue Cycle experience     Additional specialty specific certifications (e.g. CCC - Certified Cardiology Coder, COBGC - Certified OB/GYN Coder)
  • Auditing certification (e.g. CPMA-Certified Professional Medical Auditor)
Employment Type: FULL_TIME

What Ardent Health Services employees say

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Benefits

Hours and flexibility

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About Ardent Health Services

Sourced by ZipRecruiter

With 30 hospitals and hundreds of clinics, Ardent Health Services is a premier provider of health care services, delivered with compassion for patients and their families and with respect for employees, physicians and other health professionals. Nearly half of our facilities have been recognized among healthcare's best places to work.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Nashville, TN, US

Year founded

1993

Social media

Twitter

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