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Medicare Auditor Jobs in Indiana (NOW HIRING)

Ourhrconnect

$72K - $94K/yr

Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. Required Education: Bachelor's in ...

Ourhrconnect

$72K - $94K/yr

Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. Required Education: Bachelor's in ...

Huron Consulting Group

$26.44 - $52.40/hr

The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of ... Medicare/Medicaid Services (CMS) ICD-CM Official Guidelines for Coding and Reporting American ...

New

*Southlake Campus

CODING AUDITOR

Merrillville, IN · On-site

$25.50 - $28.75/hr

Maintains working knowledge of CMS (Medicare and Medicaid) regulations, Local Coverage Determinations (LCD), National Coverage determination (NCD) and National Correct Coding Initiatives (NCCI)

DaMar Staffing

CODING AUDITOR

Merrillville, IN · On-site

$65 - $90/hr

Maintains working knowledge of CMS (Medicare and Medicaid) regulations, Local Coverage Determinations (LCD), National Coverage determination (NCD) and National Correct Coding Initiatives (NCCI)

Methodist Hospitals

CODING AUDITOR

Merrillville, IN · On-site

$26.75 - $30.50/hr

Maintains working knowledge of CMS (Medicare and Medicaid) regulations, Local Coverage Determinations (LCD), National Coverage determination (NCD) and National Correct Coding Initiatives (NCCI)

*Southlake Campus

CODING AUDITOR

Merrillville, IN · On-site

$25.50 - $28.75/hr

Maintains working knowledge of CMS (Medicare and Medicaid) regulations, Local Coverage Determinations (LCD), National Coverage determination (NCD) and National Correct Coding Initiatives (NCCI)

Methodist Hospitals

CODING AUDITOR

Merrillville, IN · On-site

$50 - $75/hr

Maintains working knowledge of CMS (Medicare and Medicaid) regulations, Local Coverage Determinations (LCD), National Coverage determination (NCD) and National Correct Coding Initiatives (NCCI)

Methodist Hospitals

CODING AUDITOR

Merrillville, IN

$26.75 - $30.50/hr

Maintains working knowledge of CMS (Medicare and Medicaid) regulations, Local Coverage Determinations (LCD), National Coverage determination (NCD) and National Correct Coding Initiatives (NCCI)

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All JobsMedicare Auditor JobsMedicare Auditor Jobs in Indiana

Medicare Auditor information

See Indiana salary details

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$18

$44

How much do medicare auditor jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for medicare auditor in Indiana is $18.27, according to ZipRecruiter salary data. Most workers in this role earn between $13.70 and $18.32 per hour, depending on experience, location, and employer.

What does a Medicare auditor do?

A Medicare Auditor reviews and examines healthcare providers' billing and medical records to ensure compliance with Medicare regulations and policies. Their main goal is to identify improper payments, fraud, waste, or abuse within the Medicare system. Medicare Auditors analyze claims data, conduct interviews, and prepare detailed reports of their findings, which may result in recommendations for corrective actions or repayments. They play a crucial role in maintaining the integrity of the Medicare program and ensuring taxpayer funds are spent appropriately.

What does a Medicare auditor do?

As a Medicare auditor, you review health insurance information and documentation to ensure accuracy and locate errors or discrepancies. Your duties include reviewing billing and claims processes to ensure healthcare and medical service providers abide by Medicare regulations. Your responsibilities often involve investigating errors in billing, problems with Medicare eligibility determinations, and possible cases of fraud. Some auditors focus on medical coding accuracy. In these positions, you review medical records to ensure that medical codes match services provided, and you determine whether the services or treatments were medically necessary. Auditors also review processes and make recommendations to improve efficiency.

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 expertise in healthcare regulations, medical billing and coding, and a background in accounting or health information management, often supported by relevant certifications like RHIA, CPC, or CFE. Familiarity with audit software, electronic health records (EHRs), and Medicare claims processing systems is essential. Strong analytical thinking, attention to detail, and effective communication skills help auditors identify discrepancies and collaborate with healthcare providers. These skills ensure compliance with federal regulations, prevent fraud, and protect the integrity of Medicare funds.

What are some common challenges Medicare auditors face when reviewing healthcare provider documentation?

Medicare Auditors often encounter challenges such as incomplete or inconsistent medical records, varying documentation practices across providers, and frequent updates to Medicare regulations. Staying current with regulatory changes and interpreting complex billing codes require strong attention to detail and ongoing training. Additionally, auditors must communicate findings tactfully with providers to promote compliance while maintaining professional relationships.

What is the difference between Medicare Auditor vs Medicare Claims Reviewer?

AspectMedicare AuditorMedicare Claims Reviewer
Required CredentialsCertifications in auditing, healthcare compliance, or related fields; often CPA or CPC certificationsCertifications in medical coding, claims processing, or healthcare compliance; CPC certification common
Work EnvironmentTypically in healthcare facilities, government agencies, or insurance companies; focus on audits and complianceUsually in healthcare providers, insurance companies, or government agencies; focus on reviewing claims for accuracy
Employer & Industry UsageUsed by government agencies, insurance companies, and healthcare organizations for compliance auditsUsed by healthcare providers, insurance companies, and government programs for claims assessment

Medicare Auditors and Medicare Claims Reviewers both work within the healthcare industry and require knowledge of healthcare regulations. However, Medicare Auditors primarily focus on evaluating compliance and financial accuracy through audits, while Medicare Claims Reviewers assess individual claims for correctness before payment. Both roles are essential for maintaining Medicare program integrity but differ in their specific responsibilities and work environments.

How much do Medicare auditors make in the US?

Medicare auditors in the US typically earn between $50,000 and $80,000 annually, with experienced professionals or those in senior roles earning higher salaries. Compensation can vary based on location, experience, and certifications such as the Certified Professional Coder (CPC) or Certified Medical Auditor (CMA).
More about Medicare Auditor jobs

What are popular job titles related to Medicare Auditor jobs in Indiana?

For Medicare Auditor jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Medicare Auditor jobs in Indiana look for?

The top searched job categories for Medicare Auditor jobs in Indiana are:

What cities in Indiana are hiring for Medicare Auditor jobs?

Cities in Indiana with the most Medicare Auditor job openings:

Medicare Auditor jobs near you
Infographic showing various Medicare Auditor job openings in Indiana as of August 2026, with employment types broken down into 3% As Needed, 75% Full Time, 18% Part Time, and 4% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $38,012 per year, or $18.3 per hour.

Claims Auditor

American Health Partners

Indianapolis, IN • Hybrid

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 26 days ago

Key responsibilities

  • Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials.

  • Work closely with delegated claim processor to review and correct errors prior to final payment.

  • Participate in and support ad-hoc audits as needed.

Job description

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and Idaho with planned expansion into other states in 2024. For more information, visit AmHealthPlans.com. 

If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! 

Benefits and Perks include:

  • Affordable Medical/Dental/Vision insurance options
  • Generous paid time-off program and paid holidays for full time staff
  • TeleMedicine 24/7/365 access to doctors
  • Optional short- and long-term disability plans
  • Employee Assistance Plan (EAP)
  • 401K retirement accounts
  • Employee Referral Bonus Program

ESSENTIAL JOB DUTIES:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. 

  • Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials
  • Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of claims processing standards
  • Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment
  • Work assigned claim projects to completion
  • Provide a high level of customer service to internal and external customers; achieve quality and productivity goals
  • Escalate appropriate claims/audit issues to management as required; follow departmental/organizational policies and procedures
  • Maintain production and quality standards as established by management
  • Participate in and support ad-hoc audits as needed
  • Other duties as assigned

JOB REQUIREMENTS:

  • Proficient in processing/auditing claims for Medicare and Medicaid plans
  • Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other complex claim processing rules and regulations
  • Current experience with both Institutional and Professional claim payments
  • Knowledge of automated claims processing systems
  • Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office.

REQUIRED QUALIFICATIONS:

  • Experience:
    • Two (2) years’ experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system
    • Two (2) years’ experience in managed healthcare environment related to claims processing/audit
    • Two (2) years’ experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS
    • Two (2) years’ experience with CMS requirements regarding claims processing; especially Skilled Nursing Facility and other complex claim processing rules and regulations
    • Two (2) years’ experience processing/auditing claims for Medicare and Medicaid plans
  • License/Certification(s):
    • Coding certification preferred

EQUAL OPPORTUNITY EMPLOYER

Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.

 This employer participates in E-Verify.

American Health Partners logo

About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

Social media

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