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Medical Insurance Auditor Jobs (NOW HIRING)

6 Degrees Health

Audit Verifier I

Amarillo, TX · On-site

Audit Supervisor Summary/Objective This position is responsible for auditing and examining suspected insurance medical, dental and long-term care claim overpayments that we identify on behalf of our ...

Collabera LLC

Auditor

Chicago, IL · On-site

$40 - $43/hr

Quality Auditor Locations: Remote (50 - 60% Travel is expected anywhere in US but that will be ... medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance ...

Collabera

Auditor

Mundelein, IL · On-site

$30 - $50/hr

Quality Auditor Duration: 6 months Contract + extension Location: Remote (travel required) Pay ... medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance ...

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

Office of the DuPage County Auditor

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Senior Staff Auditor

Wheaton, IL · On-site

$90K - $105K/yr

... medical, dental and vision insurance, flexible spending accounts, life insurance, pension, deferred ... Auditor; (3) Certified Fraud Examiner; or (4) Other relevant, comparable certifications.

Socket.dev

Medical Records Auditor

San Jose, CA · On-site

$73.78/hr

Medical Records Auditor Job Duties The Medical Records Auditor plays an integral part in the ... Life Insurance * Vacation * Paid Sick Leave * Sick Leave Buy Back * 401(k) Retirement * Scholarship ...

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Medical Insurance Auditor information

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How much do medical insurance auditor jobs pay per hour?

As of Aug 20, 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 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 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.

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.

How do I become a medical insurance auditor?

To become a medical insurance auditor, you typically need a bachelor's degree in health administration, accounting, or a related field. Relevant experience in healthcare billing, coding, or insurance claims is often required, along with knowledge of medical coding systems like ICD and CPT. Certification such as the Certified Professional Medical Auditor (CPMA) can enhance job prospects.
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 August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% 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.

Meadville, PA • On-site

$300K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 24 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!
#PremiumAuditor #InsuranceAuditor #InsuranceJobs #WorkersComp #WorkersCompensation #CommercialInsurance #InsuranceIndustry #RiskManagement #RiskAssessment #PremiumAudit #InsuranceCareers #InsuranceProfessionals #Underwriting #PolicyCompliance #AuditProfessionals #Fredericksburg #Kerrtown #WestMead #BloomingValley
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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