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Medicare Audit Jobs (NOW HIRING)

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 ...

Akron Children's Hospital

Audit Specialist

Ravenna, OH · On-site

Technical Expertise · Expert knowledge of healthcare regulatory frameworks (e.g., HIPAA, Medicare/Medicaid, fraud & abuse statutes). · Proficient in audit methodologies, controls evaluation, and ...

Akron Children's Hospital

Audit Specialist

Akron, OH

Technical Expertise · Expert knowledge of healthcare regulatory frameworks (e.g., HIPAA, Medicare/Medicaid, fraud & abuse statutes). · Proficient in audit methodologies, controls evaluation, and ...

Akron Children's Hospital

Audit Specialist

Akron, OH · On-site

Technical Expertise • Expert knowledge of healthcare regulatory frameworks (e.g., HIPAA, Medicare/Medicaid, fraud & abuse statutes). • Proficient in audit methodologies, controls evaluation, and ...

Castro & Company

Audit Manager

Alexandria, VA · On-site +1

$111K - $145K/yr

Company Description Castro & Company is a dedicated audit, advisory, and accounting CPA firm ... Three (3) years of management experience in Medicare cost report auditing, settlement, and ...

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 ...

CBIZ

Senior Audit Manager

Tallahassee, FL · Hybrid

... 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 ...

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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 Aug 7, 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?

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.

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:
Medicare Audit jobs near you
Infographic showing various Medicare Audit job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, 1% Temporary, and 4% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $71,776 per year, or $34.5 per hour.

Audit Manager

Myers and Stauffer

Baltimore, MD • Hybrid

$103K - $135K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 7 days ago

Job description

#LI-MM3 #LI-Hybrid

Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 21 offices and have over 900 associates nationwide.

At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices.  We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.

What We Offer:

  • Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates
  • Vacation time, sick time, and paid holidays
  • Paid Parental Leave and available support resources
  • 401K with company matching for eligible employees
  • Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
  • A combination of technical and leadership development training at each career milestone
  • Up to six counseling sessions per year for eligible employees through our Employee Assistance Program

We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.

Minimum Qualifications

  • Bachelor's degree in accounting or related field

Essential Functions and Primary Duties

  • Provide strong leadership on audit engagements, effectively supervising staff to provide quality deliverables within the defined deadlines
  • Assist in completing project deliverables and manage flow of audits through required process
  • Provide quality assurance reviews on audit and attestation working papers and reports completed by other team members
  • Schedule field audit dates with providers
  • Perform final review of audit fieldwork
  • Perform various assignments relating to health care reimbursement
  • Coordinate staffing on projects to meet strict deadlines
  • Provide high level technical knowledge and training to staff
  • Mentor staff by delivering timely feedback
  • Maintain security of and confidentiality of all protected health information
  • Additional responsibilities as assigned

Preferred Qualifications

  • Master's degree 
  • CPA certification
  • At least 6 years' of related experience 
  • Minimum 3 years' of supervisory experience 
  • Must have experience leading audit engagements
  • Demonstrated high level of expertise with Medicare and Medicaid regulations
  • Strong analytical and problem solving skills
  • Strong verbal and written communication skills
  • Well organized with a high degree of accuracy and attention to detail
  • Must be able to learn a significant amount of information in a short time-frame
  • Effectively manage multiple deadlines and prioritize assignments
  • Proficient use of applicable software programs, including Microsoft Word and Excel
  • Experience with project management (Pro Systems FX) software preferred
  • Must be able to travel based on client and business needs

Essential Functions and Primary Duties

  • Provide strong leadership on audit engagements, effectively supervising staff to provide quality deliverables within the defined deadlines
  • Assist in completing project deliverables and manage flow of audits through required process
  • Provide quality assurance reviews on audit and attestation working papers and reports completed by other team members
  • Schedule field audit dates with providers
  • Perform final review of audit fieldwork
  • Perform various assignments relating to Medicaid reimbursement
  • Coordinate staffing on projects to meet strict deadlines
  • Provide high level technical knowledge and training to staff
  • Mentor staff by delivering timely feedback
  • Maintain security of and confidentiality of all protected health information
  • Additional responsibilities as assigned

Preferred Qualifications

  • Master's degree 
  • CPA certification
  • At least 6 years' of related experience 
  • Minimum 3 years' of supervisory experience 
  • Must have experience leading audit engagements
  • Demonstrated high level of expertise with Medicare and Medicaid regulations
  • Strong analytical and problem solving skills
  • Strong verbal and written communication skills
  • Well organized with a high degree of accuracy and attention to detail
  • Must be able to learn a significant amount of information in a short time-frame
  • Effectively manage multiple deadlines and prioritize assignments
  • Proficient use of applicable software programs, including Microsoft Word and Excel
  • Experience with project management (Pro Systems FX) software preferred
  • Must be able to travel based on client and business needs

Apply