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Medicare Audit Jobs (NOW HIRING)

Alignment Healthcare

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 ...

Alignment Healthcare

VP, Internal Audit

Orange, CA

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 ...

Rockwell Care

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 ...

Myers and Stauffer

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 ...

CBIZ

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 ...

Bryan Health

Patient Registrar I- 12-hour shift

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 ...

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Medicare Audit information

See salary details

$25K

$71.8K

$108K

How much do medicare audit jobs pay per year?

As of Jun 13, 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, and why are they important?

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 medical insurance auditor?

To become a medical insurance auditor, candidates typically need a background in healthcare, accounting, or related fields, along with knowledge of insurance policies and billing practices. Earning certifications such as the Certified Professional Medical Auditor (CPMA) or similar credentials can enhance job prospects. Experience with medical records, coding, and auditing software is also valuable in this role.

Is an auditor a high paying job?

Auditors, including those working in Medicare audits, can earn competitive salaries that vary based on experience, location, and certification level. Generally, senior auditors and those with specialized skills or certifications tend to have higher pay, but salaries may still be below top-tier executive roles. Entry-level auditors typically earn moderate wages compared to other finance or healthcare positions.

What is a Medicare auditor?

A Medicare auditor is a professional responsible for reviewing healthcare claims and medical records to ensure compliance with Medicare regulations and proper billing practices. They often work for government agencies or contracted organizations, using auditing tools and knowledge of healthcare policies to detect fraud, waste, or errors.

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?

AspectMedicare AuditMedicare Billing Specialist
CredentialsKnowledge of Medicare regulations, auditing certificationsMedical billing certifications, coding knowledge
Work EnvironmentHealthcare facilities, government agencies, consulting firmsMedical offices, billing companies, healthcare providers
Employer & Industry UsageUsed by healthcare auditors, government agencies, consulting firmsUsed 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.

Is it hard to become a medical auditor?

Becoming a Medicare medical auditor typically requires a background in healthcare, such as nursing, coding, or health administration, along with knowledge of medical billing and coding standards. Certification, like the Certified Professional Coder (CPC) or Certified Medical Auditor (CMA), can improve job prospects. The role often involves detailed review of medical records and claims, requiring attention to detail and familiarity with regulatory guidelines.
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:
Medicare Audit jobs near you
Infographic showing various Medicare Audit job openings in the United States as of June 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $71,776 per year, or $34.5 per hour.
Patient Registrar I- 12-hour shift

Patient Registrar I- 12-hour shift

Bryan Health

Lincoln, NE

$17 - $22/hr

Full-time

Posted 17 days ago

Bryan Health rating

7.0

Company rating: 7.0 out of 10

Based on 116 frontline employees who took The Breakroom Quiz

371st of 872 rated healthcare providers

Job description

GENERAL SUMMARY:

The Patient Registrar is responsible for the efficient and orderly registration of patients and the collection of payments at the time services are rendered.  Obtains accurate and complete patient demographic and financial information, obtains required consents and authorizations and ensures patients are aware of medical center policies, procedures and third party payer requirements.  Provides additional directions and information to ensure continuity of patient care.

PRINCIPAL JOB FUNCTIONS:

1.       *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2.      *Understands and operationalizes federal regulations regarding Advance Directives, COBRA, Medicare, Corporate Compliance, Joint Commission, OSHA and HIPAA; reports safety and customer concerns.

3.       *Receives and processes reservations from physicians and/or representatives for all services; secures required patient information, including applicable physicians, medical necessity/diagnosis, insurance, pre-certification/referral information and third party payer requirements; coordinates the scheduling of tests and/or bed assignments in various departments as needed.

4.      *Interviews and registers incoming patients in person or via telephone, which initiates the medical record and the patient account; obtains and data enters patient demographic and financial information in the medical center computer systems; ensures data integrity, completeness and confidentiality in a variety of areas as assigned by supervisor; may perform insurance verification related duties such as securing insurance benefits and prior authorization as assigned.

5.       *Describes medical center payment policies and expectations, provides financial options to patients, explains insurance coverage and responsible party obligations; communicates insurance non-coverage to the patient; delivers a notice of non-coverage when necessary; obtains and witnesses necessary signatures on medical center forms.

6.      *Supports the financial goals of Bryan Medical Center by assuring timely collection of patient deductibles, co-insurance and deposits; identifies underinsured, uninsured and self-pay patients for immediate referral to financial counselors for pursuit of third party payers.

7.       *Collects payments according to area procedure; writes receipts and acts as cashier after hours, including balancing of petty cash per department specific procedure; secures/releases patient valuables (money, credit cards, jewelry, etc.), writes receipt and maintain logs/audits; secures motel/respite rooms for patients and/or families as needed.

8.      *Generates, assembles, files, logs and distributes patient charts including forms, physicians orders, armbands and labels according to patient type and specific department needs.

9.      *Updates patient demographic and financial information to ensure complete and accurate files; enters on-line computer comments to assist others who access the patient record; delivers admission and/or other applicable paperwork to the nursing units.

10.   *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 computer downtime procedures.

11.   *Based upon patient's condition, transports or arranges for transport of patients; assists patients, families, and visitors in a professional, courteous and constructive manner to assure a continuum of quality patient care.

12.   *Reads, reviews and operationalizes new/revised policies/procedures via email, postings, mailings, voice mail and meetings.

13.   *Follows Medical Center protocols in communicating and releasing patient information.

EDUCATION AND EXPERIENCE:

High school diploma or equivalency required.  Prior office experience in a medical setting preferred.  Knowledge of medical terminology desired.  Must be 19 years of age to witness legal consents.

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