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Remote Cms Auditor Jobs (NOW HIRING)

Inpatient Coding Auditor

Paterson, NJ ยท Remote

$40 - $44/hr

Remote Job Summary: The Inpatient Coding Auditor is responsible for auditing inpatient coding and ... Stay current with CMS IPPS changes, Coding Clinic guidance, official coding guidelines, and payer ...

Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule ... Coding Clinics, AMA, CMS, Specialty Association/Society guidance, and others, as applicable;

Senior Auditor

West Valley City, UT ยท Remote

$82K - $101K/yr

This is a remote position The Sr. Auditor will report to the Manager of AAPC Services with a direct ... CMS and other national coding and compliance guidelines ยท Excellent written and verbal ...

Senior Auditor

Salt Lake City, UT ยท On-site +1

$77K - $95K/yr

This is a remote position The Sr. Auditor will report to the Manager of AAPC Services with a direct ... CMS and other national coding and compliance guidelines โ€ข Excellent written and verbal ...

JOB REQUIREMENTS We are seeking a talented individual for a remote Outpatient Coding Auditor ... Stays current with AHA Official Coding and Reporting Guidelines, CMS, and other agency directives ...

... remote-first, high-growth environment. * Review medical records and clinical documentation to ... CMS, Medicaid), and payer-specific policies. * Conduct routine and focused coding audits to ...

$28 - $31.75/hr

Remote work from Illinois, Wisconsin, Indiana, and Iowa Description Required: * RHIT or RHIA or CCS ... S News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists ...

Inpatient Coding Auditor

$28 - $31.75/hr

... CMS directives. The auditor also validates Present on Admission (POA) indicators per AHA POA ... This is a remote role; work is performed in a home office environment. e4health is an equal ...

Coder Quality Auditor

$57K - $99K/yr

... following CMS/AMA guidelines. Candidate should possess the ability to code and a clear ... This is a remote position; however, candidates must be willing and able to travel to and work ...

Sr Medicaid Financial Auditor

WV ยท On-site +1

$140K - $189K/yr

Support proactive, highquality financial management activities aligned with CMS oversight ... Remote Work Location: Any Location / Remote Additional Work Locations: Total Rewards at GDIT: Our ...

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Remote Cms Auditor information

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$64.5K

$87K

$97.5K

How much do remote cms auditor jobs pay per year?

As of Jul 22, 2026, the average yearly pay for remote cms auditor in the United States is $86,952.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,000.00 and $92,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote CMS Auditor, and why are they important?

To thrive as a Remote CMS Auditor, you need expertise in healthcare compliance, medical coding, and auditing practices, typically supported by a degree in health information management and relevant certifications such as CPC or RHIA. Familiarity with CMS guidelines, EHR systems, and auditing software is crucial for accurate documentation review. Strong attention to detail, analytical thinking, and effective communication set high performers apart in this role. These competencies ensure compliance with federal regulations, minimize errors, and uphold the integrity of healthcare operations.

What is a Remote CMS Auditor?

A Remote CMS Auditor is a professional who evaluates and reviews an organization's compliance with Centers for Medicare & Medicaid Services (CMS) regulations while working remotely. Their responsibilities include assessing healthcare providers' adherence to CMS policies, conducting audits of medical records and billing practices, and identifying areas of non-compliance. Working remotely, they use secure software and digital tools to analyze data and prepare reports, helping organizations improve their compliance and avoid penalties. This role is vital for maintaining high standards in healthcare service delivery and ensuring proper reimbursement.

What is the difference between Remote Cms Auditor vs Remote Content Reviewer?

AspectRemote Cms AuditorRemote Content Reviewer
Required CredentialsCMS auditing certifications, knowledge of compliance standardsContent moderation training, familiarity with platform policies
Work EnvironmentAnalyzing website content for compliance, often independentlyReviewing user-generated content for appropriateness
Employer & IndustryDigital marketing, media, or publishing companiesSocial media platforms, online marketplaces, content platforms
Search & Comparison IntentUnderstanding compliance and audit processesContent quality and policy enforcement

The Remote Cms Auditor primarily focuses on evaluating website content for compliance with standards and regulations, requiring specific certifications and analytical skills. In contrast, Remote Content Reviewers concentrate on moderating user-generated content to ensure it adheres to platform policies. Both roles are essential in digital content management but differ in scope and expertise required.

How does a Remote CMS Auditor typically collaborate with healthcare providers and internal teams during an audit?

A Remote CMS Auditor frequently works with both healthcare providers and internal compliance teams through virtual meetings, secure document sharing, and regular email communications. The auditor may request documentation, clarify findings, and provide feedback while ensuring all sensitive information is handled in compliance with HIPAA and CMS guidelines. Effective collaboration is essential for accurate assessments and timely resolution of audit issues, so strong communication skills and familiarity with remote tools are key. Additionally, auditors often participate in team meetings to discuss audit results, share best practices, and stay updated on regulatory changes.
More about Remote Cms Auditor jobs
What cities are hiring for Remote Cms Auditor jobs? Cities with the most Remote Cms Auditor job openings:
What are the most commonly searched types of Cms Auditor jobs? The most popular types of Cms Auditor jobs are:
What states have the most Remote Cms Auditor jobs? States with the most job openings for Remote Cms Auditor jobs include:
Infographic showing various Remote Cms Auditor job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, 8% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $86,952 per year, or $41.8 per hour.
Inpatient Coding Auditor

Inpatient Coding Auditor

PF Concepts

Paterson, NJ โ€ข Remote

$40 - $44/hr

Other

Posted 22 days ago


Job description

Description

Required: 5+ years of experience in inpatient coding auditing or compliance


Location: Remote


Job Summary: The Inpatient Coding Auditor is responsible for auditing inpatient coding and DRG assignment to ensure accurate ICD-10-CM/PCS coding, documentation support, and compliance with official guidelines and payer requirements. This role tracks audit outcomes, supports corrective actions, and provides education to improve coding quality and reduce audit risk.


Responsibilities include, but are not limited to:

  • Review entire medical record to confirm correct assignment of ICD-10-CM/PCS coding, sequencing and POA to ensure proper assignment of MS-DRG/APR-DRG.
  • Review clinical documentation for guideline compliance, clinical support, and accurate capture of CC/MCC and key secondary diagnoses and procedures.
  • Identify trends, root causes, and compliance risks; recommend corrective actions and process improvements in collaboration with coding leadership and CDI.
  • Work closely with leadership create and prepare detailed audit reports, including findings, financial impact considerations, and error-rate metrics; track follow-up actions and re-audit results.
  • Provide education and feedback to inpatient coders and CDI partners; develop reference tools and training materials.
  • Support external audits and payer requests (e.g., RAC/DRG audits) and assist with appeal support when needed.
  • Stay current with CMS IPPS changes, Coding Clinic guidance, official coding guidelines, and payer policy updates.
  • Ensure accurate abstraction of data elements impacting reimbursement and reporting (e.g., discharge disposition, admission source, procedure dates).
  • Maintain audit tools, policies, and procedures; assist with continuous improvement initiatives.
  • Maintain established productivity standards by PF Concepts or client
  • Maintain HIPAA compliance and protect patient confidentiality in all work activities.


Compensation:ย 

  • $40.00-$44.00 per hour, depending on experience.

Schedule:

  • Per diem / as needed; no guaranteed minimum hours.

Requirements

Qualifications:

  • Bachelor's Degree or Associate's Degree in Health Information Management or related field; bachelor's degree preferred
  • Credentials from AHIMA or AAPC, AHIMA preferred, AAPC considered with facility coding experience.
  • 5+ years of recent inpatient acute-care coding experience with auditing/DRG validation experience preferred.
  • Expert knowledge of ICD-10-CM, ICD-10-PCS, MS-DRGs, POA, CC/MCC capture, and official coding guidelines/Coding Clinic.
  • Strong analytical skills and ability to interpret clinical documentation and support audit conclusions.
  • Ability to prepare detailed written reports and communicate findings effectively.
  • Proficiency with EHR and encoder/coding tools and Microsoft Excel/Office.
  • Effective communication and coaching skills to deliver coder education and corrective action follow-up.
  • Active coding certification required (CCS or CIC); RHIT/RHIA and CDIP are a plus.
  • Proficiency with multiple applications: ย Oracle, Epic, Meditech, Powerchart, Soarian Financials, Clintegrity, Solventum 360, etc