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Remote Medical Claim Auditor Jobs (NOW HIRING)

Sydiera

Medical Biller (Remote)

New York, NY · Remote

$19.25 - $24.50/hr

This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and ...

SYDIERA

Medical Biller

New York, NY · On-site +1

$20 - $25.75/hr

This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and ...

Rooted Talent Solutions

$17.25 - $22.25/hr

This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and ...

Rooted Talent Solutions

$17.25 - $22.25/hr

This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and ...

Codoxo

Data Mining Auditor- Payment Integrity

The Data Mining Auditor performs medical claim audits to identify overpaid claims, through review ... Remote Work Requirements: To ensure reliable performance on the company-issued CODOXO laptop ...

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Remote Medical Claim Auditor information

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How much do remote medical claim auditor jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote medical claim auditor in the United States is $25.61, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $24.52 per hour, depending on experience, location, and employer.

What does a remote medical claim auditor do?

A Remote Medical Claim Auditor reviews and evaluates healthcare claims to ensure accuracy, compliance with regulations, and proper documentation. They work from a remote location, analyzing medical records and billing information to identify errors, fraud, or overpayments. Their goal is to ensure that healthcare providers and insurance companies process claims correctly and adhere to industry standards. This role often involves communicating findings, recommending corrective actions, and sometimes working with multiple software systems. Attention to detail and knowledge of medical coding and billing practices are essential for success in this position.

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

To thrive as a Remote Medical Claim Auditor, you need a solid understanding of medical billing and coding, healthcare regulations, and insurance claims processes, often supported by a degree in health information management or a related field. Familiarity with auditing software, electronic health records (EHR) systems, and certifications such as CPC (Certified Professional Coder) or CPMA (Certified Professional Medical Auditor) are typically required. Strong attention to detail, analytical thinking, and effective communication skills help auditors identify discrepancies and collaborate with healthcare providers. These skills and qualifications are vital for ensuring accuracy, compliance, and cost savings in healthcare reimbursement.

How do remote medical claim auditors typically collaborate with healthcare providers and insurance teams while working off-site?

Remote Medical Claim Auditors routinely engage with healthcare providers and insurance teams through secure digital platforms, email, and virtual meetings. They review claims data, clarify documentation, and resolve discrepancies by communicating directly with billing departments and insurance representatives. Effective collaboration relies on clear, timely communication and a strong understanding of compliance regulations. While working independently, auditors are still part of a broader team, often participating in regular check-ins and process improvement discussions.

What is the difference between Remote Medical Claim Auditor vs Remote Medical Billing Specialist?

AspectRemote Medical Claim AuditorRemote Medical Billing Specialist
CredentialsCertifications like CPC, CPC-H, or equivalentCertifications like CPC, CPC-H, or equivalent
Work EnvironmentHealthcare insurance companies, third-party administrators, or healthcare providersMedical offices, billing companies, or healthcare providers
Job FocusReviewing and auditing insurance claims for accuracy and compliancePreparing and submitting insurance claims, following up on payments

Both roles require similar certifications and often operate within healthcare or insurance environments. The key difference is that Remote Medical Claim Auditors focus on reviewing claims for accuracy and compliance, while Remote Medical Billing Specialists handle the submission and management of claims. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

More about Remote Medical Claim Auditor jobs

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Remote Medical Claim Auditor jobs near you
Infographic showing various Remote Medical Claim Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $53,259 per year, or $25.6 per hour.

Specific Stop Loss Claim Auditor Intern

Brown & Brown, Inc.

Remote

$19/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
CTI Audit Solutions is seeking a specific stop loss claim auditor intern to joining our growing team!
For over 30 years it has been CTI's mission to help self-funded health plan sponsors reduce claim expense and improve service to their employees through independent audit and control of their third-party claim administration. Our philosophy of continuous quality improvement (CQI) techniques in conjunction with our statistical process control methodology allows us to ensure a high degree of consistency in our approach to medical claim auditing. Efficient planning and maximized use of our proprietary systems and technology produces a streamlined audit product requiring fewer hours than competitors to complete.
This internship offers an excellent opportunity for students or early-career professionals interested in healthcare claims, insurance, data analysis, and auditing. The position is remote and approximately 20 hours per week, with flexible scheduling.
Position Summary:
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim documentation, analyzing data, and assisting with stop loss claim audits. The intern will gain hands-on experience with healthcare claims administration, reimbursement methodologies, and audit processes while working alongside experienced professionals in the industry.
Key Responsibilities
  • Assist with reviewing and auditing specific stop loss claim submissions.
  • Validate claim documentation and supporting records for completeness and accuracy.
  • Analyze medical and pharmaceutical claims data.
  • Assist in identifying claim discrepancies, overpayments, and audit findings.
  • Utilize Excel and other Microsoft Office applications to organize, analyze, and report data.
  • Support auditors in preparing client reports and audit summaries.
  • Participate in process improvement initiatives and special projects.
  • Maintain confidentiality of protected health information (PHI) and sensitive client data.
  • Communicate effectively with team members regarding audit findings and project status.

Qualifications
Required Qualifications
  • Currently a sophomore in college pursuing a degree in Healthcare or a Science related field.
  • Strong analytical and critical thinking skills.
  • High attention to detail and strong organizational skills.
  • Proficiency in Microsoft Office, particularly Excel, Word, and Outlook.
  • Excellent written and verbal communication skills.
  • Ability to work independently and manage multiple tasks in a remote environment.

Preferred Qualifications
  • Coursework or internship experience related to healthcare, insurance, auditing, or claims administration.
  • Familiarity with healthcare claims processing or medical billing concepts.
  • Experience using Excel features such as formulas, sorting, filtering, and pivot tables.
  • Exposure to healthcare reimbursement methodologies, including Medicare, DRG, or RBRVS.
  • Experience with Microsoft Access or other database applications.

Pay Range
$19.00 - $19.00 Hourly
The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
  • Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
  • Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
  • Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
  • Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
Recruiting Vendor Disclosure Statement
Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, "The Power to Be Yourself".

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