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Medical Auditor Jobs (NOW HIRING)

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 ...

Medical Coding Auditor

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

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 ...

Clinical Review Auditor I

Fort Worth, TX · Remote

$70K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Clinical Review Auditor I

Fort Worth, TX · On-site

$70K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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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Medical Auditor information

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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.

What cities are hiring for Medical Auditor jobs?

Cities with the most Medical Auditor job openings:

What are the most commonly searched types of Medical Auditor jobs?

The most popular types of Medical Auditor jobs are:

Who are the top companies hiring for Medical Auditor jobs?

The top employers for Medical Auditor jobs are:

What states have the most Medical Auditor jobs?

States with the most job openings for Medical Auditor jobs include:

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.

Physician Practice E&M Auditor Educator, MCVI Administration, FT, 8A-4:30P (Hybrid)

Baptist Health South Florida

Coral Gables, FL • On-site

$26.13 - $33.97/hr

Full-time

Re-posted 16 days ago


Baptist Health South Florida rating

8.1

Company rating: 8.1 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

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Job description

The ideal candidate will have CIRCC Certification as well and experience in interventional coding.

E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed. Audits consist of evaluation of the accuracy of documentation, including E/M and other payer codes, medical necessity, reimbursement overpayments and underpayments, and compliance with other documentation standards. Researches and applies all federal guidelines & compliance with the overall audit delivery. Develops and executes provider comprehensive educational opportunities/curriculums (coding resources, materials, tools, webinars, campaigns, etc.) based on audit results, noted trends & changes within coding compliance and regulatory guidelines, while supporting organizational compliance models. Leads provider's education events to discuss overall audit results overview, identifying trends and action plans. Provides support or project management for any other related audit and coding initiatives and assist in other related responsibilities as required by executive leadership team. Establishes positive working relationships as the subject matter expert with all parties to provide input on risk and ensure a sustained understanding of federal coding compliance requirements. Estimated pay range for this position is $26.13 - $33.97 / hour depending on experience.

Degrees:
  • High School,Cert,GED,Trn,Exper.
Licenses & Certifications:
  • AHIMA Certified Coding Specialist-Physician-based.
  • AAPC Certified Professional Coder.
  • AAPC Certified Professional Medical Auditor.
Additional Qualifications:
  • Prior Physician Coding & Auditing, Revenue Cycle or billing related to Coding.
  • Upon Hire, CPC-Certified Professional Coder and/or CCS-P-Certified Coding Specialist-Physician required.
  • CPMA-Certified Professional Medical Auditor upon hire or must be completed within 1 year.
  • Overall experience to include at least 2 years of professional E&M coding experience and 2 years of E&M provider education experience.
  • Strong knowledge of E&M regulations and CMS Documentation Guidelines.
  • Successful experience with data abstraction and analyze patient encounters for a focused review sample and development of comprehensive coding education materials and resources.
  • Proficient in ICD10CM, CPT and HCPCS coding, policy and procedures based on physician practices.
  • Strong organizational skills and attention to detail.
  • Ability to prioritize provider medical record reviews/projects and provider coding education opportunities with alignment with audits and overall trends.
  • Work independently with little or no supervision.
  • Ability to provide excellent customer service.
  • Excellent computer skills and proficient in Microsoft Office and generating reports.
Minimum Required Experience: 4 Years

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About Baptist Health South Florida

Sourced by ZipRecruiter

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US