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Medical Insurance Auditor Jobs (NOW HIRING)

Mancan

Auditor

Nelsonville, OH · On-site

$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 ...

CS&L CPAS PA

Auditor (Governmental)

Bradenton, FL · Hybrid

We specialize in taxation, auditing, outsourced accounting, and advisory services for individuals ... Two Medical Insurance plans to choose from along with Dental and Vision * Group Life, Long-Term, ...

CS&L CPAs

Auditor (Governmental)

Bradenton, FL · On-site

We specialize in taxation, auditing, outsourced accounting, and advisory services for individuals ... Two Medical Insurance plans to choose from along with Dental and Vision * Group Life, Long-Term, ...

CSL CPAs

Auditor (Governmental)

Bradenton, FL · On-site

We specialize in taxation, auditing, outsourced accounting, and advisory services for individuals ... Two Medical Insurance plans to choose from along with Dental and Vision * Group Life, Long-Term, ...

Health Source MSO

Claims Auditor

Alhambra, CA

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

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

The State of Arizona

Financial Auditor I

Phoenix, AZ · On-site +1

$60K - $63K/yr

Financial Auditor I Apply now Job No: 532175 Work Type: Full-time Location: PHOENIX Categories ... Medical insurance, with the employer covering 88% of the premium cost. Retirement plan with 100 ...

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Medical Insurance Auditor information

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How much do medical insurance auditor jobs pay per hour?

As of Jun 11, 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.

What type of auditor gets paid the most?

In the field of medical insurance auditing, senior or specialized auditors with extensive experience, certifications, or leadership roles tend to earn the highest salaries. Auditors working for large organizations or in managerial positions generally receive higher pay compared to entry-level auditors. Advanced skills in data analysis and knowledge of healthcare regulations can also contribute to higher compensation.

What does an insurance auditor do?

A medical insurance auditor reviews healthcare claims, billing records, and policy documents to ensure accuracy, compliance, and proper reimbursement. They analyze data using auditing tools and may verify that insurance providers and healthcare providers follow regulations and contractual agreements.

What does a medical auditor do?

A medical auditor reviews healthcare claims, medical records, and billing documentation to ensure accuracy, compliance with regulations, and proper reimbursement. They analyze data using auditing tools and often require knowledge of coding systems like ICD and CPT, as well as attention to detail and understanding of healthcare policies.

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.

Is an auditor a high paying job?

Medical insurance auditors typically earn a competitive salary that varies by experience, location, and employer. While some auditors can earn above-average wages, salaries generally depend on certifications, skills, and the complexity of the audits they perform.

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:
What job categories do people searching Medical Insurance Auditor jobs look for? The top searched job categories for Medical Insurance Auditor jobs are:
Infographic showing various Medical Insurance Auditor job openings in the United States as of June 2026, with employment types broken down into 75% Part Time, and 25% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $44,967 per year, or $21.6 per hour.

Premium Insurance Auditor (Hybrid)

ARM Strong Receivables Management, Inc.

Toledo, OH • On-site

$300K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 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 has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory.
Job Responsibilities:
  • Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards.
  • Prepare for the audit by identifying the necessary information and type of records needed
  • Prepare schedule to maximize optimal use of time
  • Correspond with insured via phone, email and mail to setup audit appointments.
  • Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations
  • Prepare complete audit document, explain results to insured and communicate the results to the home office
  • Travel to multiple audit locations
  • Hybrid position - work from home and complete remote audits 2-3 days per week

Job Requirements:
  • Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired
  • Ability to read, analyze and interpret financial documents
  • General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus.
  • Ability to communicate well with customers and staff.
  • Valid driver's license and satisfactory driving record
  • Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined

Compensation and Benefits:
  • Benefit package with health, dental, vision, life and disability coverage options
  • 401(k) retirement plan option with company matching
  • Generous paid time off policy and 7 paid holidays
  • Salary is $45.00 - $50.00 per billable hour
  • Weekly pay
  • 401(k) plan with company matching and immediate vesting

We look forward to you joining the team!
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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