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Remote Clinical Auditor Jobs in Michigan (NOW HIRING)

Elara Caring

Senior Compliance Auditor - RN

Detroit, MI · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Collaborates with clinicians, managers, account executives, intake coordinators, directors, and ...

Elara Caring

Senior Compliance Auditor - RN

Detroit, MI · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Collaborates with clinicians, managers, account executives, intake coordinators, directors, and ...

Trinityhealth

Specialist Charge -RIO (Remote)

Livonia, MI · Remote

$24.53 - $36.80/hr

Responsible for auditing department information, producing reports, & suggesting improvements to ... Experience working with current clinical processes, charge master maintenance, clinical coding ...

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Remote Clinical Auditor information

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How much do remote clinical auditor jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for remote clinical auditor in Michigan is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $12.55 and $16.78 per hour, depending on experience, location, and employer.

What is a remote clinical auditor?

A Remote Clinical Auditor is a healthcare professional who reviews medical records and clinical documentation from a remote location to ensure compliance with healthcare regulations, policies, and quality standards. They assess the accuracy, completeness, and consistency of patient records, often for billing, coding, or regulatory purposes. By working remotely, they utilize secure digital systems to access records and communicate findings with healthcare providers. Their work helps healthcare organizations maintain high standards of patient care and avoid compliance issues.

What are the key skills and qualifications needed to thrive as a remote clinical auditor?

To thrive as a Remote Clinical Auditor, you need a strong background in clinical documentation, healthcare regulations, and auditing principles, typically supported by a degree in a health-related field and relevant certifications such as RHIA, RHIT, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and audit management tools is essential. Exceptional attention to detail, analytical thinking, and effective communication skills help auditors identify discrepancies and convey findings clearly. These skills ensure accurate compliance reviews, support organizational integrity, and maintain high standards in healthcare data quality.

How does a remote clinical auditor typically collaborate with on-site medical staff and other team members?

As a Remote Clinical Auditor, effective collaboration with on-site medical staff and interdisciplinary teams is essential to ensure accurate and comprehensive audit results. Communication is often managed through video conferencing, secure messaging platforms, and shared documentation systems. Regular virtual meetings and clear reporting protocols help bridge the physical distance, allowing auditors to clarify findings, address questions, and provide feedback in real time. Building strong professional relationships and maintaining a proactive communication style are key to ensuring smooth workflows and successful audit outcomes.

What is the difference between Remote Clinical Auditor vs Remote Data Analyst?

AspectRemote Clinical AuditorRemote Data Analyst
Required CredentialsCertifications in clinical auditing, healthcare complianceData analysis certifications, SQL, Excel skills
Work EnvironmentHealthcare settings, clinical research organizationsVarious industries, including healthcare, finance, marketing
Employer & Industry UsagePharmaceutical companies, CROs, healthcare providersTech firms, healthcare, finance, marketing agencies
Common Search & ComparisonYesNo

Remote Clinical Auditors focus on reviewing clinical trial data for compliance and accuracy, often requiring healthcare certifications. Remote Data Analysts interpret data sets across industries, emphasizing statistical and technical skills. While both roles involve data handling, their industry focus and required credentials differ significantly.

What are popular job titles related to Remote Clinical Auditor jobs in Michigan?

For Remote Clinical Auditor jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Remote Clinical Auditor jobs in Michigan look for?

The top searched job categories for Remote Clinical Auditor jobs in Michigan are:

Remote Clinical Auditor jobs near you
Infographic showing various Remote Clinical Auditor job openings in Michigan as of August 2026, with employment types broken down into 3% As Needed, 68% Full Time, 18% Part Time, 2% Temporary, 8% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $34,818 per year, or $16.7 per hour.

Auditor, Healthcare Services (Remote in MI)

Molina Healthcare

Detroit, MI • On-site, Remote

$26.41 - $51.49/hr

Full-time

Re-posted 3 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

167th of 311 rated insurance

Job description


JOB DESCRIPTION
This position will offer remote work flexibility, but the selected candidate must reside in Michigan.
Opportunity for an RN who has a US license in good standing to join our Medicaid Team as a Clinical Auditor. The person filling this role will be an instrumental part of the team work to align the Medicaid Team compliance guidelines with those followed by our corporate teams. Knowledge and experience working with Waiver Program is vital to success in this role.
The preferred candidate will have 3 - 5 years of experience in a MCO and at least 2 years of clinical auditing and/or review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill sets we are seeking. Licensure should be an LPC, RN, LLMSW, LMSW, LBSW.
Hours are Monday - Friday, 8:30AM - 5PM EST.
Job Summary
Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed.
• Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met.
• Assesses clinical staff regarding appropriate clinical decision-making.
• Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
• Ensures auditing approaches follow a Molina standard in approach and tool use.
• Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications.
• Adheres to departmental standards, policies and protocols.
• Maintains detailed records of auditing results.
• Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results.
• Meets minimum production standards related to clinical auditing.
• May conduct staff trainings as needed. • Communicates with quality and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
Required Qualifications
• At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• Strong attention to detail and organizational skills.
• Strong analytical and problem-solving skills.
• Ability to work in a cross-functional, professional environment.
• Ability to work on a team and independently.• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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