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Medical Insurance Auditor Jobs (NOW HIRING)

Collabera

Quality Auditor

Mundelein, IL · On-site

$25 - $30/hr

... medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance ... Auditing experience within the medical device, pharmaceutical, or healthcare industry Strong ...

Collabera

Auditor

Mundelein, IL · On-site

$28 - $30/hr

Quality Auditor Schedule: Hybrid (3x onsite) Duration: 3-6 months Contract + extension Location ... medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance ...

Mancan

Auditor

Nelsonville, OH

$60K/yr

... medical insurance. Many of the areas top employersincluding Fortune 500 companiespartner with Mancan, making this a great opportunity to get your foot in the door with leading local companies. If you ...

Health Source MSO

Claims Auditor

Alhambra, CA · On-site

Claims Auditor will be responsible for auditing claims processed by Claims Examiners ... Medical Insurance Dental Insurance Vision Insurance Life Insurance 401K Matching Paid Time Off

Checkpoint Systems

Be Seen First

Quality Auditor

Canton, OH · On-site

$17 - $18.50/hr

The Shift Quality Auditor trains new inspection personnel in test techniques and in-process ... Medical Insurance * Dental Insurance * Vision Insurance * Life Insurance * Employee Assistance ...

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Medical Insurance Auditor information

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How much do medical insurance auditor jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for medical insurance 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 do you become an insurance auditor?

To become a medical insurance auditor, candidates typically need a background in healthcare, accounting, or insurance, along with strong analytical skills. Relevant certifications such as Certified Professional Medical Auditor (CPMA) or similar can enhance job prospects, and experience with medical billing, coding, or claims review is often required. A bachelor's degree in health administration, finance, or a related field is common, and familiarity with auditing software and healthcare regulations is beneficial.

What type of auditor gets paid the most?

In the field of medical insurance auditing, senior or specialized auditors with extensive experience, certifications, and expertise in complex claims tend to earn higher salaries. Auditors working in large organizations or those with advanced skills in data analysis and compliance generally receive higher compensation. Certification such as Certified Professional Medical Auditor (CPMA) can also contribute to increased pay.

What is a Medical Insurance Auditor?

A Medical Insurance Auditor is a professional who reviews medical billing records, insurance claims, and related documentation to ensure accuracy, compliance with regulations, and proper reimbursement. They verify that healthcare providers are billing insurance companies correctly and that claims adhere to policies and standards. Medical Insurance Auditors help prevent fraud, identify errors, and recommend improvements in billing procedures. They often work for healthcare facilities, insurance companies, or as independent consultants.

What does a health insurance auditor do?

A health insurance auditor reviews insurance claims, policies, and billing records to ensure accuracy, compliance, and fraud detection. They analyze data using auditing tools and may verify that claims are processed correctly according to policy guidelines and regulations.

How do I become a medical auditor?

To become a medical auditor, typically one needs a background in healthcare, such as a registered nurse, medical coder, or healthcare administrator, along with knowledge of medical billing and coding. Certification programs like the Certified Professional Medical Auditor (CPMA) from the American Academy of Professional Coders (AAPC) can enhance job prospects. Gaining experience in medical records review and understanding insurance policies are also important steps.

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

To thrive as a Medical Insurance Auditor, you need a strong background in healthcare billing, coding (such as ICD-10 and CPT), and a thorough understanding of insurance regulations, often supported by a degree in health information management or a related field. Familiarity with auditing software, electronic health record (EHR) systems, and certifications like Certified Professional Medical Auditor (CPMA) are typically required. Attention to detail, analytical thinking, and effective communication are key soft skills for identifying discrepancies and collaborating with healthcare providers. These skills are crucial for ensuring compliance, minimizing financial risk, and maintaining the integrity of medical billing processes.

What are some common challenges Medical Insurance Auditors face when reviewing healthcare claims?

Medical Insurance Auditors often encounter challenges such as interpreting complex medical documentation, staying updated on evolving insurance regulations, and identifying discrepancies between billed services and medical records. They must pay close attention to detail and maintain accuracy, as small errors can lead to significant compliance issues. Additionally, auditors frequently collaborate with healthcare providers and billing staff to clarify documentation and ensure proper coding, requiring strong communication and problem-solving skills.
More about Medical Insurance Auditor jobs
What states have the most Medical Insurance Auditor jobs? States with the most job openings for Medical Insurance Auditor jobs include:
Infographic showing various Medical Insurance Auditor job openings in the United States as of July 2026, with employment types broken down into 22% Locum Tenens, 70% Full Time, 6% Part Time, and 2% Contract. 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.

Premium Insurance Auditor

ARM Strong Receivables Management, Inc.

Batavia, NY • On-site

$300K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Job description

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services.
NEIS, LLC a leader in the insurance audit and loss control prevention industry since 1945 is seeking a Premium Auditor to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers. As a premium auditor, your primary responsibilities will be looking for evidence of fraud and checking that insured businesses adhere to regulations. You will work from home but are required to travel to each policyholder's location within a limited territory.
Job Responsibilities:
  • Conduct premium audits for Workers' Comp, General Liability, Garage, and Auto policies
  • Review financial records and apply audit standards
  • Schedule and perform on-site audits within assigned territory
  • Communicate with policyholders to gather required documentation
  • Identify discrepancies and ensure compliance
  • Prepare and submit audit reports
Job Requirements:
  • Associate's degree or equivalent experience preferred
  • 2+ years of premium audit experience (preferred)
  • Strong analytical and communication skills
  • Proficiency in Microsoft Excel and Word (Visual Audit and Nexus Audit a plus)
  • Valid driver's license and reliable transportation
  • Personal auto insurance meeting minimum requirements: $100,000 bodily injury per person; $300,000 per accident (or $300,000 combined single limit)

Compensation and Benefits:
  • Benefit package with health, dental, vision, 401k and more
  • Exceptional training program
  • Flexible schedule
  • Continuing education reimbursements for premium auditing certifications with bonuses after completion
  • Generous paid time off policy and 7 paid holidays
  • Mileage Reimbursements
  • Compensation consists of base wage and production bonus paid weekly
    • Billable hour rates vary based on experience and knowledge - range is $44 -$50 per billable hour
    • Earning potential is only limited by your drive and resilience - potential of $75k+

We look forward to you joining our team!
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ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
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