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Provider Data Auditor Jobs (NOW HIRING)

Centene

Senior Quality Auditor

$23.23 - $39.61/hr

Responsible for auditing provider data loaded into the claims processing systems, documenting and reporting audit results, and researching claims and enrollment discrepancies as they are related to ...

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

State Auditor's Office

Auditor I-II

Austin, TX · Hybrid

$56K - $88K/yr

Auditor I: $52,000 - $77,548.56/year OR Auditor II: $56,000 - $88,786.92/year HIRE DATE : January ... data, and provide objective analysis to assist agency management in improving operational ...

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

RIT Solutions, Inc.

SQL Data Engineer

Atlanta, GA · On-site

$110K - $132K/yr

... auditing system. The role involves analyzing needs and ensuring solutions align with current ... member and provider data. • Should have worked on agile based projects. • Modify existing ...

Group Health

Provider File Specialist - Remote

Summary of Job Conduct vendor performance auditing and support maintenance of provider data integrity across core operational processes. Ensure adherence to contractual requirements, regulatory ...

New

EmblemHealth

Provider File Specialist - Remote

Job Title Conduct vendor performance auditing and support maintenance of provider data integrity across core operational processes. Ensure adherence to contractual requirements, regulatory ...

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Provider Data Auditor information

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$30.5K

$72.6K

$117.5K

How much do provider data auditor jobs pay per year?

As of Sep 11, 2026, the average yearly pay for provider data 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 data auditor?

A Provider Data Auditor is a professional responsible for reviewing and verifying the accuracy of healthcare provider data within an organization’s records or databases. They ensure that information such as credentials, licensure, and contact details are correct and comply with regulatory standards. Their role is critical for healthcare organizations to maintain accurate provider directories, reduce errors in claims processing, and ensure compliance with industry regulations. Provider Data Auditors often work with data management systems, perform audits, and collaborate with other departments to resolve discrepancies.

How does a provider data auditor typically collaborate with other departments within a healthcare organization?

Provider Data Auditors work closely with multiple departments such as credentialing, provider relations, and IT to ensure the accuracy and integrity of provider information. They often coordinate with these teams to clarify discrepancies, implement data corrections, and support compliance initiatives. Effective communication and teamwork are crucial, as audits may uncover issues that require cross-functional solutions. This collaborative environment not only helps maintain accurate provider data but also offers opportunities for auditors to expand their knowledge and network within the organization.

What are the key skills and qualifications needed to thrive as a provider data auditor, and why are they important?

To thrive as a Provider Data Auditor, you need strong analytical skills, attention to detail, and experience with healthcare data, often supported by a degree in healthcare administration, business, or a related field. Familiarity with claims processing systems, database tools like SQL, and knowledge of HIPAA regulations or CPC certification are commonly required. Excellent communication, organizational skills, and problem-solving abilities help auditors collaborate with teams and address data discrepancies effectively. These competencies ensure accurate provider data management, regulatory compliance, and operational efficiency in healthcare organizations.

What is the difference between Provider Data Auditor vs Provider Data Coordinator?

AspectProvider Data AuditorProvider Data Coordinator
CertificationsTypically requires certifications in healthcare data or auditingMay require certifications in healthcare administration or data management
Work EnvironmentAuditing data accuracy, compliance, and integrity in healthcare settingsManaging and updating provider information within healthcare organizations
Employer & Industry UsageUsed by insurance companies, healthcare providers, and compliance agenciesEmployed by healthcare facilities, insurance companies, and provider networks

The Provider Data Auditor focuses on reviewing and ensuring the accuracy and compliance of provider data, while the Provider Data Coordinator manages the ongoing updating and maintenance of provider information. Both roles are essential in healthcare data management but differ in their primary responsibilities and focus areas.

What states have the most Provider Data Auditor jobs?

States with the most job openings for Provider Data Auditor jobs include:

What are popular job titles related to Provider Data Auditor jobs?

For Provider Data Auditor jobs, the most frequently searched job titles are:

Infographic showing various Provider Data Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Credentialing Specialist - Provider

Detroit, MI • On-site

OpTech LLC
See more jobs at OpTech LLCexternal

Full-time

Retirement

Posted 28 days ago

Job description

Detroit, MI
Healthcare Organizations
Contract
We are seeking a Provider Credentialing Specialist in the metro Detroit MI area. This is a hybrid position 2x/week in the office.
Job Description:
The Provider Credentialing Specialist is responsible for validating, auditing, and maintaining accurate provider information to support provider directory accuracy and data quality. This position conducts provider outreach, researches discrepancies, processes audit results, and works with internal leadership and operational teams to ensure accurate provider data is maintained across systems.
Skills/Experience/Education:
  • 3 - 5 years' experience:
    • Outbound provider inquires - verifying demographics and contact information
    • Validate provider data on customer facing sites
    • Process provider audit results and collaborate with leadership
  • Microsoft Office - Excel, Access, Outlook
  • Systems knowledge (preferred) - PORTICO, SF MACESS, FACETS
  • Education/Certifications - Highschool diploma

Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/

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