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Operations Audit Specialist Jobs (NOW HIRING)

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Construction Audit Specialist

Arlington, TX · On-site

ADVANCEMENT OPPORTUNITIES Manager, Internal Audit Manager, Accounting POSITION SUMMARY The Internal Audit Specialist will be responsible for evaluating and ensuring the financial and operational ...

Akron Children's Hospital

Audit Specialist

Akron, OH · On-site

Duties and Responsibilities • Plan, conduct, and oversee compliance audits in areas including finance, operations, and research. • Analyze audit results to identify root causes and risks; draft ...

Neighborly

Audit Support Specialist

Waco, TX · On-site

Audit Specialist Are you looking for a place where you can bring your strong attention to detail ... Provide administrative and operational support to the franchise audit team, including communication ...

Neighborlybrands

Audit Support Specialist

Waco, TX · Hybrid

Audit Specialist Are you looking for a place where you can bring your strong attention to detail ... Provide administrative and operational support to the franchise audit team, including communication ...

Kinsale Insurance

Premium Audit Specialist

Richmond, VA

$62K - $68K/yr

About the Role As a Premium Audit Specialist, you'll play a critical role in ensuring accuracy and integrity in our underwriting and operations processes. This position blends analytical thinking ...

Kinsale Insurance

Premium Audit Specialist

Richmond, VA · On-site

$62K - $68K/yr

About the Role As a Premium Audit Specialist, you'll play a critical role in ensuring accuracy and integrity in our underwriting and operations processes. This position blends analytical thinking ...

Stellantis

QMS and Audit Specialist

White Lake, MI · On-site

The Process Conformity/MQGR Specialist is responsible for assuring the alignment between plant operations and manufacturing operational standards. The MQGR Specialist conducts process audits to ...

Citi Trends

Sales Audit Specialist

Savannah, GA · On-site

CITITRENDS is seeking a Sales Audit Specialist who will be responsible for the accurate and timely ... Partner with Store Operations and Loss Prevention to support compliance with cash handling ...

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Operations Audit Specialist information

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$36K

$76.5K

$116.5K

How much do operations audit specialist jobs pay per year?

As of Jul 15, 2026, the average yearly pay for operations audit specialist in the United States is $76,517.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $116,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Operations Audit Specialist, and why are they important?

To thrive as an Operations Audit Specialist, you need a solid background in accounting or finance, analytical skills, and often a relevant degree or professional certification such as CPA or CIA. Familiarity with audit management software, data analytics tools, and enterprise resource planning (ERP) systems like SAP is typically required. Attention to detail, critical thinking, and strong communication skills help you effectively identify risks and present findings to stakeholders. These skills are crucial for ensuring organizational compliance, operational efficiency, and reliable risk management.

What are some common challenges Operations Audit Specialists face when collaborating with cross-functional teams?

Operations Audit Specialists often work with various departments, such as finance, IT, and operations, to evaluate internal controls and ensure compliance. One common challenge is navigating differences in communication styles and priorities across teams, which can impact information gathering and implementation of audit recommendations. Building strong relationships, clearly communicating audit objectives, and remaining flexible are crucial for overcoming these obstacles and ensuring a smooth, effective audit process.

What are Operations Audit Specialists?

Operations Audit Specialists are professionals who evaluate and analyze an organization's operational processes to ensure efficiency, compliance, and risk management. They assess internal controls, review procedures, and recommend improvements to optimize business operations. Their work helps organizations identify weaknesses, prevent fraud, and adhere to industry regulations. Operations Audit Specialists play a key role in maintaining organizational integrity and operational effectiveness.

What is the difference between Operations Audit Specialist vs Internal Auditor?

AspectOperations Audit SpecialistInternal Auditor
CertificationsCPA, CIA, CISA often preferredCPA, CIA, CISA often preferred
Work EnvironmentFocuses on operational processes and efficiencyFocuses on financial and compliance controls
Employer & IndustryUsed in various industries including manufacturing, healthcare, and financePrimarily in finance, banking, and corporate sectors

While both roles involve auditing, the Operations Audit Specialist concentrates on operational processes and efficiency, whereas the Internal Auditor primarily reviews financial controls and compliance. Both roles often require similar certifications and are found across diverse industries, but their focus areas differ, making each role unique in organizational auditing functions.

More about Operations Audit Specialist jobs
What cities are hiring for Operations Audit Specialist jobs? Cities with the most Operations Audit Specialist job openings:
What states have the most Operations Audit Specialist jobs? States with the most job openings for Operations Audit Specialist jobs include:
What job categories do people searching Operations Audit Specialist jobs look for? The top searched job categories for Operations Audit Specialist jobs are:
Operations Audit Specialist jobs near you
Infographic showing various Operations Audit Specialist job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 6% Part Time, 1% Temporary, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $76,517 per year, or $36.8 per hour.
Provider Audit Specialist

Provider Audit Specialist

Capital Blue Cross

Harrisburg, PA

$55K - $103K/yr

Full-time

Re-posted 23 days ago

Capital Blue Cross rating

7.7

Company rating: 7.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

183rd of 281 rated insurance

Job description

The Provider Audit Specialist supports accurate and compliant provider billing by conducting audits of hospital charge data and claims. This role focuses on analyzing chargemasters (CDMs), identifying billing irregularities, and helping ensure adherence to regulatory and contractual standards. The specialist collaborates with internal teams to recommend improvements and support financial recoveries.

Duties and Responsibilities:

  • Conduct end-to-end audits of provider charge masters (CDM) and associated claims to evaluate billing accuracy, rate structures, and adherence to contractual and regulatory requirements.
  • Review and analyze provider chargemaster data to identify outliers, inconsistencies, or policy violations.
  • Assist in the development and maintenance of audit models, dashboards, and templates to support enterprise audit functions.
  • Prepare audit summaries with findings and recommendations.
  • Support provider communications regarding audit findings and recommend process improvements.
  • Maintain current knowledge of CMS guidelines, payer policies, and healthcare billing standards (UB-04, CPT, HCPCS, revenue codes.
  • Contribute to reimbursement and contract review projects.

Skills:

  • Proficiency in Microsoft Office Suite products (Access, Excel, Word, PowerPoint, etc.), SAS, SQL, PowerBI, or other software used for both analytic, reporting, and data visualization functions.

Knowledge:

  • Knowledge of CPT/HCPCS coding, CMS billing guidelines, and provider reimbursement methodologies.
  • Knowledge of hospital CDMs, UB-04 billing, CPT/HCPCS codes, and revenue cycle operations.
  • Familiarity with CMS billing guidelines, DRG/APC reimbursement, and hospital pricing regulations.

Experience:

  • 2-4 years in provider auditing, revenue integrity, hospital billing, or charge master analysis.
  • Experience with Commercial and Medicare Advantage plans.
  • Experience with payer-side claim auditing, payment policy, or charge validation.

Education and Certifications:

  • Bachelors degree in healthcare administration, Health Information Management, Accounting, or related field.
  • Preferred certifications: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA).

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, youll help us live our mission of improving the health and well-being of our members and the communities in which they live.

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