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Provider Auditor Jobs (NOW HIRING)

BHC ISC

Provider Coding Educator & Auditor

Fort Lauderdale, FL · On-site

$26 - $29.50/hr

The Provider Coding Educator & Auditor within the Compliance Department is responsible for conducting risk‑based professional coding audits analyzing provider coding/billing trends developing and ...

Office of the DuPage County Auditor

Be Seen First

Senior Staff Auditor

Wheaton, IL · On-site

$90K - $105K/yr

... provide project leadership when delegated. Duties include: * Assisting the County Auditor and Chief Deputy Auditor with planning and developing audit programs for financial, compliance, and ...

Covenant Health

COMPLIANCE AUDITOR

Knoxville, TN · On-site +1

Overview Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote ... Also provides consulting services to the organization's management and staff and may participate in ...

Covenant Health

COMPLIANCE AUDITOR

Knoxville, TN · Remote

Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote. Covenant ... Also provides consulting services to the organization's management and staff and may participate in ...

STI

Auditor

Indianapolis, IN · On-site

on-site monitoring and reviews of DCS community based contracted provider businesses. The auditor will conduct reviews throughout DCS regions 9, 10, and 11 which covers the central part of the state.

USA JOBS

Auditor

Rockville, MD · On-site

$85K/yr

Providing technical guidance and expert advice to other auditors on the engagement team from contracted independent public accounting firms on the interpretation of federal accounting principles ...

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Provider Auditor information

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$30.5K

$72.6K

$117.5K

How much do provider auditor jobs pay per year?

As of Aug 17, 2026, the average yearly pay for provider auditor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What is a provider auditor?

Provider Auditors are professionals who review and assess healthcare providers’ records, billing practices, and claims to ensure compliance with regulations and detect potential fraud or errors. They analyze medical documentation, verify the accuracy of billing codes, and ensure that services billed were actually provided and are medically necessary. Provider Auditors play a crucial role in maintaining the integrity of healthcare reimbursement systems and help organizations avoid penalties associated with improper billing.

What skills and qualifications are needed to be a provider auditor?

To thrive as a Provider Auditor, you need a solid understanding of healthcare billing, coding standards (such as ICD-10 and CPT), and auditing procedures, often supported by a degree in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHR) systems, and certifications like Certified Professional Medical Auditor (CPMA) are commonly required. Attention to detail, analytical thinking, and strong communication skills help you identify discrepancies and clearly relay findings to providers. These skills ensure accurate audits, regulatory compliance, and reduced financial risk for healthcare organizations.

What challenges do provider auditors face when evaluating healthcare claims, and how can they address them?

Provider Auditors often encounter challenges such as incomplete documentation, complex billing codes, and discrepancies between services billed and services rendered. To address these, auditors need to maintain strong attention to detail, stay updated on current regulations and coding standards, and communicate effectively with providers to clarify ambiguities. Building collaborative relationships with clinical staff and regularly participating in training sessions can also help auditors navigate these complexities and ensure compliance with healthcare policies.

What is the difference between Provider Auditor vs Claims Auditor?

AspectProvider AuditorClaims Auditor
CertificationsCPA, CPC, or healthcare-specific certificationsCPA, CPC, or healthcare-specific certifications
Work EnvironmentHealthcare facilities, insurance companies, or government agenciesInsurance companies, healthcare organizations, or third-party auditing firms
Primary FocusAuditing healthcare providers' billing, coding, and complianceReviewing insurance claims for accuracy and fraud detection

Provider Auditors primarily focus on evaluating healthcare providers' billing and compliance practices, ensuring adherence to regulations. Claims Auditors concentrate on reviewing insurance claims for accuracy, fraud, and proper reimbursement. While both roles require similar certifications and work in healthcare or insurance settings, their core responsibilities differ—Provider Auditors assess provider practices, whereas Claims Auditors scrutinize insurance claims.

More about Provider Auditor jobs

What job categories do people searching Provider Auditor jobs look for?

The top searched job categories for Provider Auditor jobs are:

Provider Auditor jobs near you
Infographic showing various Provider Auditor job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Provider Coding Educator & Auditor

Broward Health

Fort Lauderdale, FL • On-site

$26 - $29.50/hr

Other

Posted 11 days ago

Broward Health rating

6.9

Company rating: 6.9 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

457th of 887 rated healthcare providers

Job description

Provider Coding Educator & Auditor

The Provider Coding Educator & Auditor within the Compliance Department is responsible for conducting risk-based professional coding audits, analyzing provider coding/billing trends, developing and delivering targeted education, and supporting enterprise-wide compliance with federal, state, and payer-specific documentation and coding requirements. This position leverages analytical tools to identify risk, monitor performance metrics, and ensure Broward Health providers understand and appropriately apply E&M, CPT, HCPCS, and ICD-10-CM guidelines.

Education:

  • Associate

Experience:

  • Three Years

Credentials:

  • Certified Coding Professional
  • Certified Professional Medical Auditor
  • Specialized Credentialing through AAPC

Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information, or any other characteristic protected under applicable federal or state law. At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.

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About Broward Health

Sourced by ZipRecruiter

A career with Broward Health means endless opportunities to grow through a wide range of experiences across the healthcare system. You will be part of a team that is continually raising the bar for patient care. Our competitive benefits package includes healthcare coverage, a matching retirement program, pension plan, and wellness programs.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Lauderdale, FL, US

Year founded

1938

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