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Medicare Auditor Jobs (NOW HIRING)

$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 ...

$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 ...

$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 ...

$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 ...

$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 ...

$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 ...

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 ...

$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 ...

$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 ...

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 ...

$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 ...

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 ...

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 ...

$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 ...

Showing results 41-60

Medicare Auditor information

See salary details

$10

$19

$46

How much do medicare auditor jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for medicare auditor in the United States is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $19.23 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 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 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 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.

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 cities are hiring for Medicare Auditor jobs?

Cities with the most Medicare Auditor job openings:

What are the most commonly searched types of Medicare Auditor jobs?

The most popular types of Medicare Auditor jobs are:

What states have the most Medicare Auditor jobs?

States with the most job openings for Medicare Auditor jobs include:

Infographic showing various Medicare Auditor job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 79% Full Time, 14% Part Time, and 3% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.

Medicare Cost Reporting Auditor II

Ourhrconnect

Hybrid

$72K - $94K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago


Job description


Summary
 Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources.
Description
 

This is a full time remote position working Monday through Friday.

  • Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and evaluates business risks. Documents issues, the causes of those issues, and their effects on the process/function and the corporation.

  • Drafts recommendations to limit risks and improve processes, functions and activities. Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations. Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies. Conducts testing of corrective actions as identified.

  • Develops detailed reports on each audit conducted. Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity.

  • Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of findings and recommendations for management.

  • 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 a job related field.

Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience.
Required Work Experience: 2 years auditing experience.
Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data. Ability to draw conclusions and make appropriate recommendations for analyzed data. Ability to gather information by examining records and documents and interviewing individuals. Strong interpersonal skills. Ability to maintain effective working relationships. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis.
Required Software and Tools: Microsoft Office.
Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) or Certified Fraud Examiner (CFE).
Work Environment: Typical office environment. Travel between office buildings may be required. Out of town travel may be required.

Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment:

  • Subsidized health plans, dental and vision coverage

  • 401k retirement savings plan with company match

  • Life Insurance

  • Paid Time Off (PTO)

  • On-site cafeterias and fitness centers in major locations

  • Education Assistance

  • Service Recognition

  • National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

SalaryRange:

Range Minimum

$49,447.00

Range Midpoint

$72,092.00

Range Maximum

$94,737.00

Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's moreinformation.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's moreinformation.

Some states have required notifications. Here's more information.