ZipRecruiter

Log In

2

Remote Medical Auditor Jobs in Raleigh, NC (NOW HIRING)

Amerihealth Caritas

Quality Perform Spec Clinical

Raleigh, NC · On-site +1

$31.25 - $41.75/hr

Remote based position with a strong preference for a North Carolina resident. Will support the ... auditing medical record reviews upon completion. * All other duties as assigned. Education ...

TEKsystems

Revenue Integrity Manager

Raleigh, NC · Remote

$86K - $142K/yr

Leads key operational initiatives across nurse auditing, coding, Charge Description Master (CDM ... Skills revenue integrity, medical code, medical billing & coding, medical billing software, epic ...

Jobot

Audit Senior

Chapel Hill, NC · Remote

$105K - $110K/yr

Audit Senior - REMOTE This Jobot Job is hosted by: Sean Copeland Are you a fit? Easy Apply now by ... Why join us? ----- Unlimited PTO Medical, Dental, Vision, & Voluntary Insurance Options 401(k) ...

Fortrea

Senior Programmer Analyst

Durham, NC · Remote

$80K - $95K/yr

... to sponsors/auditors (if required), assist with the design of ECRFs and other study documents ... Medical, Dental, Vision, Life, STD/LTD, 401(K), Paid time off (PTO) or Flexible time off (FTO ...

New

GFL Environmental

Benefits Administrator

Raleigh, NC · Remote

... remote workforce. What We Offer Why join us? We believe in taking care of our team. Here is a snapshot of our total rewards you can expect: Health: 4 medical plan options including a HSA with ...

All JobsMedical Auditor JobsRemote Medical Auditor JobsRemote Medical Auditor Jobs in Raleigh, NC

Remote Medical Auditor information

See Raleigh, NC salary details

$13

$21

$28

How much do remote medical auditor jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote medical auditor in Raleigh, NC is $21.02, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $26.63 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 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.

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.

More about Remote Medical Auditor jobs
What are popular job titles related to Remote Medical Auditor jobs in Raleigh, NC? For Remote Medical Auditor jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Medical Auditor jobs in Raleigh, NC look for? The top searched job categories for Remote Medical Auditor jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Medical Auditor jobs? Cities near Raleigh, NC with the most Remote Medical Auditor job openings:
Remote Medical Auditor jobs near you
Infographic showing various Remote Medical Auditor job openings in Raleigh, NC as of August 2026, with employment types broken down into 97% Full Time, and 3% Part Time. Highlights an 100% Remote job distribution, with an average salary of $43,712 per year, or $21 per hour.

NCQA Quality & Accreditation Specialist (Full Time, Remote, North Carolina Based)

Alliance

Morrisville, NC • On-site, Remote

$69K - $88K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

The NCQA Quality & Accreditation Specialist serves as the project management lead and subject matter expert for assigned NCQA standard areas and manages the assessment of related business functions for corresponding departments within the scope of NCQA standards (e.g. Provider and Member Services, Utilization Management, Population Health, Care Management, Provider Network, Member and Provider Communications, Delegation Oversight) to support high-quality performance and ensure successful NCQA Accreditation process.
This position is fulltime remote. While there is no expectation of being in the office routinely, they may be required to report to the Alliance Home Office (Morrisville, North Carolina) for business meetings as needed.
Responsibilities & Duties
Implement and Monitor Accreditation Workplan
  • Project management lead for assigned NCQA standard categories within the organization's QI workplan to achieve and maintain Health Plan Accreditation with LTSS distinction and any additional accreditations Alliance Health pursues
  • Identify gaps and risks and provide regular status reports from NCQA tracker to leadership
  • Serve as lead for NCQA Accreditation reviews for assigned standard categories by gathering all necessary documents and information from business areas, managing timely document submissions to NCQA, facilitating NCQA requests for additional information, and coordinating onsite review activities
  • Review and update policies and procedures, reports, materials, and files for completeness, accuracy, and compliance with NCQA Standards
  • Maintain calendar of documentation due dates, ongoing collection and tagging relevant policies/procedures, reports, materials, and files as appropriate
  • Participate in Delegation Oversight and audits as appropriate

Drive Organizational Accreditation Efforts
  • Provide technical support and education to staff regarding NCQA Health Plan Accreditation and LTSS Distinction Standards and supporting documentation
  • Assess business area functions against current and upcoming NCQA standards and identify potential performance gaps and associated risks and update NCQA tracker upon release of new/updated standards
  • Serve as the accreditation subject matter expert within organizational wide, cross-functional, and multi-disciplinary teams to bring each business area to a state of readiness
  • Identify and facilitate business area process improvements via means such as policies, workflows, and processes; follow-up to ensure improved outcomes
  • Coordinate and collaborate with cross-departmental teams to identify and implement organization-wide strategic initiatives that support quality performance
  • Communicate reporting due dates and reminders to business leads and leadership as appropriate
  • Maintain clear status updates regarding NCQA Readiness on NCQA Tracker, communicating risks as appropriate

Minimum Requirements
Education & Experience
Required:
Bachelor's degree in Healthcare, Human Services, Public Health Administration, Nursing, Business, or related field and three (3) years of project management experience in a managed care or healthcare setting with knowledge and practical experience health care quality or NCQA Health Plan accreditation processes and requirements.
Preferred:
Experience with NCQA Accreditation standards.
Knowledge of regulatory reporting, compliance requirements, and auditing procedures.
Project management.
Knowledge, Skills, & Abilities
  • Knowledge of NCQA accreditation processes and standards
  • Knowledge and understanding of federal and state regulations
  • Planning, project management and organizational skills
  • Excellent communication skills (written and verbal).
  • Interpersonal skills which are effective, respectful, and sensitive to a diverse and multicultural population of children, families, and co-workers,
  • Problem-solving, mediation, and conflict resolution skills
  • Teamwork and collaboration skills
  • Microsoft Project, Excel, Word (Edits and Tracking), and PowerPoint skills
  • Facilitation skills
  • Ability to work in a fast-paced environment with frequent interruptions
  • Ability to work under minimal supervision

Salary Range
$69,592 - $88,729/ Annual
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity
An excellent fringe benefit package accompanies the salary, which includes:
    • Medical, Dental, Vision, Life, Long Term Disability
    • Generous retirement savings plan
    • Flexible work schedules including hybrid/remote options
    • Paid time off including vacation, sick leave, holiday, management leave
    • Dress flexibility

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

Apply