... EHR) • Medicare audit-defensible documentation standards • Clearly defined partnership track Qualifications: • MD or DO • Board Certified or Board Eligible in PM&R • Interest in ...
... EHR) • Medicare audit-defensible documentation standards • Clearly defined partnership track Qualifications: • MD or DO • Board Certified or Board Eligible in PM&R • Interest in ...
Medicare B Specialist
Louisville, KY · Remote
Responds to Medicare payer audits * Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements * High School Diploma or GED; Associate degree ...
Medicare B Specialist
Louisville, KY · Remote
Responds to Medicare payer audits * Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements * High School Diploma or GED; Associate degree ...
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Medicare B Specialist
Louisville, KY · Remote
Responds to Medicare payer audits * Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements Qualifications * High School Diploma or GED;
Quick apply
Medicare B Specialist
Louisville, KY · Remote
Responds to Medicare payer audits * Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements Qualifications * High School Diploma or GED;
Medicare B Specialist
Louisville, KY · Remote
Responds to Medicare payer audits * Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements Qualifications * High School Diploma or GED;
Medicare B Specialist
Louisville, KY · Remote
Responds to Medicare payer audits * Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements Qualifications * High School Diploma or GED;
... EHR) • Medicare audit-defensible documentation standards • Clearly defined partnership track Qualifications: • MD or DO • Board Certified or Board Eligible in PM&R • Interest in ...
... EHR) • Medicare audit-defensible documentation standards • Clearly defined partnership track Qualifications: • MD or DO • Board Certified or Board Eligible in PM&R • Interest in ...
Special project audits--i.e., shared visit documentation, Medicare audit requests, patient complaint audits
Special project audits--i.e., shared visit documentation, Medicare audit requests, patient complaint audits
Special project audits--i.e., shared visit documentation, Medicare audit requests, patient complaint audits
Special project audits--i.e., shared visit documentation, Medicare audit requests, patient complaint audits
... Medicare Medicaid and commercial payer audit processes and time frames. 5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff. 6. Ensure ...
... Medicare Medicaid and commercial payer audit processes and time frames. 5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff. 6. Ensure ...
Healthcare Audit Analyst (Remote)
Hyannis, MA · On-site +1
... Medicare Medicaid and commercial payer audit processes and time frames. 5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff. 6. Ensure ...
Healthcare Audit Analyst (Remote)
Hyannis, MA · On-site +1
... Medicare Medicaid and commercial payer audit processes and time frames. 5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff. 6. Ensure ...
... Medicare Medicaid and commercial payer audit processes and time frames. 5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff. 6. Ensure ...
... Medicare Medicaid and commercial payer audit processes and time frames. 5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff. 6. Ensure ...
... EHR) • Medicare audit-defensible documentation standards • Clearly defined partnership track Qualifications: • MD or DO • Board Certified or Board Eligible in PM&R • Interest in ...
... EHR) • Medicare audit-defensible documentation standards • Clearly defined partnership track Qualifications: • MD or DO • Board Certified or Board Eligible in PM&R • Interest in ...
VP, Internal Audit
Orange, CA · On-site
Together. The VP, Internal Audit is a highly visible senior leadership role responsible for ... Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter ...
VP, Internal Audit
Orange, CA · On-site
Together. The VP, Internal Audit is a highly visible senior leadership role responsible for ... Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter ...
AR Area Manager/AR Consultant
Ontario, CA · On-site
Receives, Tracks, review, submit, and overall gatekeeper of all Medicare audit notifications ie Probe, RAC, CERTS, etc * Communicates and provide Corporate team with materials required for yearly ...
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AR Area Manager/AR Consultant
Ontario, CA · On-site
Receives, Tracks, review, submit, and overall gatekeeper of all Medicare audit notifications ie Probe, RAC, CERTS, etc * Communicates and provide Corporate team with materials required for yearly ...
Patient Registrar I- PT Night Shift (1900-0730)
Lincoln, NE · On-site
$17 - $22/hr
Distributes/audits working reports related to registration, including those associated with charges, census, overdue arrivals, Medicare audit, and others as related to department specifics; follows ...
Patient Registrar I- PT Night Shift (1900-0730)
Lincoln, NE · On-site
$17 - $22/hr
Distributes/audits working reports related to registration, including those associated with charges, census, overdue arrivals, Medicare audit, and others as related to department specifics; follows ...
Together. The VP, Internal Audit is a highly visible senior leadership role responsible for ... Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter ...
Together. The VP, Internal Audit is a highly visible senior leadership role responsible for ... Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter ...
AR Area Manager/AR Consultant
Ontario, CA · On-site
$130K - $140K/yr
Receives, Tracks, review, submit, and overall gatekeeper of all Medicare audit notifications ie Probe, RAC, CERTS, etc * Communicates and provide Corporate team with materials required for yearly ...
AR Area Manager/AR Consultant
Ontario, CA · On-site
$130K - $140K/yr
Receives, Tracks, review, submit, and overall gatekeeper of all Medicare audit notifications ie Probe, RAC, CERTS, etc * Communicates and provide Corporate team with materials required for yearly ...
VP, Internal Audit | Healthcare
Los Angeles, CA · On-site +1
Medicare Advantage regulatory oversight, including RADV and encounter data integrity * Operational and IT audit leadership across finance, claims, pharmacy, medical management, and technology
Quick apply
VP, Internal Audit | Healthcare
Los Angeles, CA · On-site +1
Medicare Advantage regulatory oversight, including RADV and encounter data integrity * Operational and IT audit leadership across finance, claims, pharmacy, medical management, and technology
Patient Registrar I- PT Night Shift (1900-0730)
Lincoln, NE · On-site
$17 - $22/hr
Distributes/audits working reports related to registration, including those associated with charges, census, overdue arrivals, Medicare audit, and others as related to department specifics; follows ...
Patient Registrar I- PT Night Shift (1900-0730)
Lincoln, NE · On-site
$17 - $22/hr
Distributes/audits working reports related to registration, including those associated with charges, census, overdue arrivals, Medicare audit, and others as related to department specifics; follows ...
Audit Manager
Baltimore, MD · Hybrid
$103K - $135K/yr
... audit, accounting, data management and consulting services to government-sponsored health care ... Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients ...
Audit Manager
Baltimore, MD · Hybrid
$103K - $135K/yr
... audit, accounting, data management and consulting services to government-sponsored health care ... Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients ...
Medicare Audit information
See salary details
$25K - $32.5K
0% of jobs
$32.5K - $40.1K
3% of jobs
$40.1K - $47.6K
7% of jobs
$47.6K - $55.2K
8% of jobs
$58.5K is the 25th percentile. Wages below this are outliers.
$55.2K - $62.7K
14% of jobs
$62.7K - $70.3K
17% of jobs
The median wage is $70.5K / yr.
$70.3K - $77.8K
21% of jobs
$80.1K is the 75th percentile. Wages above this are outliers.
$77.8K - $85.4K
15% of jobs
$85.4K - $92.9K
8% of jobs
$92.9K - $100.5K
4% of jobs
$100.5K - $108K
2% of jobs
$25K
$71.8K
$108K
How much do medicare audit jobs pay per year?
As of Aug 6, 2026, the average yearly pay for medicare audit in the United States is $71,776.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,500.00 and $81,500.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Medicare auditor?
To thrive as a Medicare Auditor, you need a strong background in healthcare compliance, auditing principles, and knowledge of Medicare regulations, typically supported by a degree in health administration, accounting, or a related field. Familiarity with audit software, claims processing systems, and certifications such as Certified Professional Medical Auditor (CPMA) or Certified Internal Auditor (CIA) are often required. Attention to detail, analytical thinking, and strong communication skills help auditors identify discrepancies and explain findings effectively. These skills ensure accurate assessments, minimize compliance risks, and safeguard organizations from financial penalties.
How to become a Medicare auditor?
To become a Medicare auditor, candidates typically need a background in healthcare, accounting, or auditing, along with knowledge of Medicare policies and regulations. Relevant certifications such as Certified Healthcare Auditor (CHA) or Certified Public Accountant (CPA) can enhance prospects. Experience with medical billing, coding, or compliance is also valuable in this role.
What are some common challenges faced by professionals working in Medicare audit roles?
Professionals in Medicare Audit roles often encounter challenges such as keeping up with frequently changing regulations, interpreting complex billing codes, and ensuring compliance with strict federal guidelines. They must also navigate large volumes of medical records and documentation to identify errors, discrepancies, or potential fraud. Additionally, effective collaboration with healthcare providers and internal compliance teams is crucial to resolve identified issues and implement corrective actions.
What is a Medicare audit?
A Medicare audit is a review process conducted by the Centers for Medicare & Medicaid Services (CMS) or its contractors to ensure that healthcare providers are complying with Medicare billing requirements and regulations. These audits check for billing accuracy, medical necessity of services, and adherence to documentation standards. The goal is to detect and prevent improper payments, fraud, and abuse within the Medicare program. Providers who are audited may need to submit medical records and other documents for review, and they could face repayments or penalties if errors are found.
What is the difference between Medicare Audit vs Medicare Billing Specialist?
| Aspect | Medicare Audit | Medicare Billing Specialist |
|---|---|---|
| Credentials | Knowledge of Medicare regulations, auditing certifications | Medical billing certifications, coding knowledge |
| Work Environment | Healthcare facilities, government agencies, consulting firms | Medical offices, billing companies, healthcare providers |
| Employer & Industry Usage | Used by healthcare auditors, government agencies, consulting firms | Used by healthcare providers, billing companies, hospitals |
Medicare Audit professionals focus on reviewing and verifying Medicare claims for accuracy and compliance, often working in healthcare or government settings. Medicare Billing Specialists handle the submission and management of Medicare claims, ensuring proper coding and billing practices. While both roles require knowledge of Medicare policies, audits are more analytical and compliance-driven, whereas billing specialists focus on claim processing and documentation.
How do I become a Medicare audit?
To become a Medicare auditor, typically you need a background in healthcare, accounting, or auditing, along with relevant certifications such as CPA or Certified Healthcare Auditor. Gaining experience in healthcare billing, coding, or compliance is also important, and familiarity with Medicare regulations and audit tools can enhance your qualifications.
Is medical auditing a good career?
Medical auditing is a growing field that involves reviewing healthcare claims and medical records to ensure compliance and accuracy. It requires attention to detail, knowledge of healthcare regulations, and often certification, making it a stable career option with opportunities for advancement. The job typically involves working in healthcare or insurance environments and may require familiarity with auditing tools and software.
More about Medicare Audit jobs
What cities are hiring for Medicare Audit jobs? Cities with the most Medicare Audit job openings:
What states have the most Medicare Audit jobs? States with the most job openings for Medicare Audit jobs include:
What job categories do people searching Medicare Audit jobs look for? The top searched job categories for Medicare Audit jobs are:
Physician Physiatry/Physical Medicine & Rehabilitation - Competitive Salary
Fresno, CA • On-site
Other
Medical, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Job description
Location: Fresno offers an exceptional balance of professional opportunity and lifestyle affordability. As the economic hub of California’s Central Valley, the city provides a significantly lower cost of living than coastal markets while maintaining access to major metropolitan areas. Residents enjoy proximity to world-renowned outdoor destinations including Yosemite National Park, Sequoia National Park, and Kings Canyon National Park. The area is known for its family-friendly communities, strong schools, and easy access to both the Bay Area and Southern California, making it ideal for physicians seeking long-term stability with lifestyle flexibility.
Healthcare Organization: A well-established, high-volume, multidisciplinary PM&R and interventional pain practice founded in 2009. The practice emphasizes opioid-sparing, multimodal, evidence-based care with strong Medicare compliance standards and a robust Central Valley referral base. The group is physician-led with a clear focus on mentorship and long-term partnership.
Opportunity: Join a respected, procedure-focused, opioid-sparing pain center offering strong clinical infrastructure, office-based interventional care, optional ASC participation, and a clearly defined partnership track with equity opportunity.
Details:
• Interventional pain and PM&R practice established in 2009
• Office-based ultrasound-guided procedures
• Optional Advanced Surgery Center participation tailored to physician preference
• Comprehensive PM&R evaluations and multidisciplinary care coordination
• Ultrasound-guided peripheral nerve blocks and joint injections
• Strong Central Valley referral network
• Dedicated medical scribes
• AI-assisted documentation with eClinicalWorks (AI-enhanced EHR)
• Medicare audit-defensible documentation standards
• Clearly defined partnership track
Qualifications:
• MD or DO
• Board Certified or Board Eligible in PM&R
• Interest in interventional pain and MSK medicine
• Commitment to compliant, evidence-based care
Compensation:
• Highly competitive base salary
• Clearly benchmarked productivity incentives
• Paid Time Off and Sick Time Off
• Full medical benefits
• Basic life insurance
• 401(k) retirement plan
• Defined benefit plan (second retirement plan)
• CME allowance
• Medical malpractice coverage
• Defined partnership track with equity opportunity
About BAS Healthcare
Sourced by ZipRecruiter
Since 1996, BAS Healthcare has provided experience-driven and considerate physician recruitment services to healthcare facilities and high-value advocacy to providers. No matter your specialized healthcare hiring need or career development goals, our firm provides agile options resulting in mutually beneficial connections that bring improved patient outcomes. We implement nationwide direct-hire, locum tenens, and temporary staffing solutions, developing long-term professional relationships with consistency and a commitment to total provider and employer satisfaction. Each BAS Healthcare recruiting consultant is selected based upon their measured motives, values, personality, and deep knowledge of the healthcare space, ensuring the delivery of a positive and transformative hiring experience for provider and hiring organization alike.
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Chantilly, VA, US
Year founded
1996