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Remote Medical Auditor Jobs in Oregon (NOW HIRING)

RiteChoice Rx

Claims Auditor

Pharmacy auditing, medical billing auditing, or pharmacy technician experience is strongly ... This position is remote, with occasional travel to the corporate office. Essential Job Duties

EnableComp

DRG Auditor (REMOTE)

OR · On-site +1

$27.25 - $31/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... Navigate medical records efficiently, targeting specific sections (e.g., discharge summary ...

Centene

SIU Investigator

OR · On-site +1

$56K - $101K/yr

... Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Moda Health

RN Hospital Claims Auditor

Portland, OR · On-site +1

$78K - $98K/yr

Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

Healthcare Support Staffing

Remote HEDIS Specialist

OR · On-site +1

Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.

WellSense Health Plan

Coder

$18.75 - $25/hr

... auditing and reporting in accordance with state and federal regulations. The coder will abstract from in-patient and out-patient medical records and record findings via electronic data base and or ...

A-dec, Inc.

Quality Assurance Specialist, Sr

Newberg, OR · Remote

$86K - $119K/yr

Fully remote is not an option due to manufacturing facility-based activities. Education and ... and II medical devices. * Experience as lead internal auditor of Quality Management Systems ...

Bcbsa

Financial Audit Senior Consultant

OR · On-site +1

$116K/yr

This role is responsible for monitoring, analyzing, and auditing financial transactions of high ... Experience with BCBS Inter-Plan Programs and proficiency with Microsoft Office Suite. #LI-Remote ...

Manulife

Senior Underwriting Consultant

OR · On-site +1

$98K - $116K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... Audit medical record summaries to ensure documentation is in accordance with our established ...

Mineralys Therapeutics

Director of Tax

OR · On-site +1

$195K - $215K/yr

Serve as the primary contact for tax audits and partner with external auditors on tax accounting ... US Salary Range: $195,000-$215,000 #LI-Remote

Cresta

Accountant

OR · On-site +1

Comprehensive medical, dental, and vision coverage with plans to fit you and your family * Flexible ... Remote work setup budget to help you create a productive home office * Monthly wellness and ...

Blattner Company

Enterprise Standards Analyst

OR · On-site +1

$68K - $99K/yr

#LI-Remote A DAY IN THE LIFE An experienced and productive professional responsible for analyzing ... auditing. STEP INTO THE ROLE * Aligns Blattner's business goals to be an industry leader by ...

Centene

Senior Compliance Investigator

OR · On-site +1

$70K - $126K/yr

... our Medical Management/Health Services team. Centene is a diversified, national organization ... in investigations, auditing and risk analysis required. * 1+ year of experience in reading ...

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Remote Medical Auditor information

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How much do remote medical auditor jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for remote medical auditor in Oregon is $22.86, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $28.99 per hour, depending on experience, location, and employer.

What is a remote medical auditor?

Remote Medical Auditors are professionals who review and analyze medical records, billing data, and coding procedures from a remote location to ensure accuracy, compliance, and proper reimbursement. They work with healthcare providers to identify discrepancies, detect fraud, and improve documentation practices. This role typically requires strong knowledge of healthcare regulations, medical coding systems, and auditing standards. Remote Medical Auditors play a crucial part in helping organizations maintain compliance with insurance and government requirements while reducing financial and legal risks.

What does a remote medical auditor do?

Most remote medical auditors specialize in medical coding and billing, which is a complex element of the industry used by insurance and care companies to help determine the care and reimbursements patients qualify for. As a remote medical auditor, you work from home to audit the records of a medical facility to ensure compliance with all regulations. In this role, you may be asked to check that bills are accurate, to perform random quality assurance tests, to provide ongoing feedback, and to answer queries from coders. Many remote medical auditors also generate quality assurance scores to evaluate coder performance and ensure a consistently high level of accuracy for coded data.

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

To thrive as a Remote Medical Auditor, you need strong knowledge of medical coding, billing practices, and healthcare regulations, typically supported by certifications such as CPC, CCS, or CPMA. Proficiency with auditing software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is essential. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These abilities are crucial to ensure accurate compliance, reduce errors, and maintain the integrity of healthcare billing and documentation.

What are some common challenges faced by remote medical auditors, and how can they be effectively managed?

Remote Medical Auditors often encounter challenges such as staying current with ever-changing healthcare regulations, ensuring data security when handling sensitive patient information, and maintaining clear communication with healthcare providers and billing teams from a distance. To effectively manage these challenges, it's important to regularly participate in professional development, use secure digital tools for data exchange, and establish structured communication protocols within the team. Additionally, strong organizational skills and self-motivation are key to successfully navigating the remote work environment and meeting audit deadlines.

Can a remote medical auditor work from home?

Yes, remote medical auditors typically work from home, as the role involves reviewing medical records and claims electronically. They often use specialized auditing software and must maintain confidentiality and accuracy while working independently. This setup allows for flexible schedules and reduces the need for physical office presence.
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What job categories do people searching Remote Medical Auditor jobs in Oregon look for?

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Remote Medical Auditor jobs near you
Infographic showing various Remote Medical Auditor job openings in Oregon as of August 2026, with employment types broken down into 90% Full Time, 7% Part Time, and 3% Contract. Highlights an 100% Remote job distribution, with an average salary of $47,544 per year, or $22.9 per hour.

Claims Auditor

Remote

RiteChoice Rx
See more jobs at RiteChoice Rxexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

Are you detail-oriented, analytical, and interested in helping pharmacies strengthen compliance and reduce audit risk? Do you enjoy reviewing information, identifying patterns, and helping teams improve their processes? RiteChoice Rx may be the right fit for you.
At RiteChoice Rx, you’ll be part of a growing independent pharmacy organization that partners with community health centers and providers to support patients across Philadelphia and surrounding areas. Our mission is simple: provide fast, friendly, and affordable pharmacy services to the communities we care about.
We are seeking an organized and compliance-focused Claims Auditor to join our Compliance Department. This role will support internal pharmacy claims auditing, help identify billing and documentation discrepancies, and work closely with pharmacy teams and operational leadership to strengthen audit readiness.
The ideal candidate is someone who can review claim details carefully, communicate findings clearly, and support a culture of compliance across the organization. Pharmacy auditing, medical billing auditing, or pharmacy technician experience is strongly preferred.
Supervision
The Claims Auditor will report directly to the Compliance Manager.
  • This is a full-time position.
  • This position is remote, with occasional travel to the corporate office.
Essential Job Duties
  • Perform routine internal audits of pharmacy claims to ensure billing accuracy, proper documentation, and compliance with federal, state, PBM, and company requirements.
  • Review submitted and adjudicated claims to confirm that key claim elements are accurate, including patient information, prescriber details, medication, quantity, day supply, DAW codes, origin codes, insurance billing, and supporting documentation.
  • Identify, investigate, and document claim discrepancies, billing irregularities, documentation deficiencies, refill timing concerns, override issues, cash billing variances, and other potential audit risks.
  • Ensure claims are properly supported by required documentation, including hardcopy notes, signatures, delivery records, claim history, payer communication, rebill notes, reversal activity, and override documentation.
  • Monitor pharmacy billing practices to help reduce audit exposure, chargebacks, and compliance concerns.
  • Track audit findings and identify patterns or recurring issues that may point to workflow, training, or process gaps.
  • Communicate audit results, trends, and potential risks to the Compliance Manager, pharmacy leadership, and operational teams.
  • Partner with pharmacy teams and operational leadership to help correct claim issues, strengthen front-end workflows, and improve overall audit readiness.
  • Develop reports and summaries that show claim accuracy, audit trends, correction timelines, recurring errors, and opportunities for improvement.
  • Support training and education for pharmacy staff on insurance requirements, documentation expectations, billing practices, and audit readiness.
  • Participate in cross-training, peer review, and process improvement efforts to support consistency across pharmacy locations.
  • Maintain professionalism, confidentiality, and integrity in all audit-related activities.
Qualifications
  • Medical billing auditing experience
  • Pharmacy auditing or pharmacy technician experience preferred
  • Applies Growth Mindset - Actively seeking new ways to grow and be challenged.
  • Demonstrates a deep understanding of the pharmacy regulations.
  • Thinks and acts strategically.
  • Ensures Outcomes - minimizes company exposure to outside auditors and regulators.
  • Participates actively within a High Performing Teams.
  • Engages and inspires other
  • Communicates to ensure readiness to execute programs
Benefits
  • Work for an engaging and growing company.
  • Health and vision insurance.
  • Dental insurance.
  • Paid time off.
  • 401(k) with employer matching.
  • Competitive salary.
  • Performance-based bonus eligibility, if applicable.
Schedule
  • Full-time position.
  • Remote work setting.
  • Occasional travel to the corporate office may be required.
  • Monday to Friday schedule anticipated.

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