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Remote Medical Claim Auditor Jobs in Riverside, CA

All Care To You

Medical Billing Coordinator

Orange, CA · Remote

$18 - $22/hr

Our company is fully remote and offers a flexible work environment as well as schedules. ACTY ... Identifies pending claims and determines next steps required to obtain reimbursement for claim.

Corvel

CA Senior Claims Specialist

Rancho Cucamonga, CA · Remote

$29.35 - $47.28/hr

This is a remote position but candidate must reside in California and hold California self ... Receives Workers' Compensation claim, confirms policy coverage and acknowledgement of the claim

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Remote Medical Claim Auditor information

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$15

$26

$52

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

As of Aug 6, 2026, the average hourly pay for remote medical claim auditor in Riverside, CA is $26.71, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $25.58 per hour, depending on experience, location, and employer.

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 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 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.

What are popular job titles related to Remote Medical Claim Auditor jobs in Riverside, CA? For Remote Medical Claim Auditor jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claim Auditor jobs in Riverside, CA look for? The top searched job categories for Remote Medical Claim Auditor jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Medical Claim Auditor jobs? Cities near Riverside, CA with the most Remote Medical Claim Auditor job openings:
Remote Medical Claim Auditor jobs near you
Infographic showing various Remote Medical Claim Auditor job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $55,564 per year, or $26.7 per hour.

Accounts Receivable Quality Assurance Auditor

Brault

San Dimas, CA • On-site, Remote

$24 - $27/hr

Full-time

Posted 7 days ago

Job description

Position Summary
The Quality Assurance Auditor is responsible for conducting detailed audits of all billing activities and accounts worked within the billing software system. This includes reviewing claim follow-up, collections efforts, resolution of denials, and special billing projects or programs. The auditor ensures compliance with internal protocols, payer regulations, and industry standards.
This role plays a critical part in identifying trends, ensuring accuracy, and improving the overall efficiency and effectiveness of the billing and collections process.
Essential Duties and Responsibilities
  • Audit daily work completed by billing staff, including claim submissions, follow-up activities, and collection efforts.
  • Review account documentation, actions taken, and billing outcomes within the billing system to ensure accuracy, completeness, and compliance.
  • Identify errors, discrepancies, and trends that may impact reimbursement, operational efficiency, or regulatory compliance.
  • Provide detailed audit findings, feedback, and recommendations to billing staff and leadership to improve performance and accuracy.
  • Monitor, address, and audit special projects (e.g., credit card chargebacks and high priority payer follow up) and programs (e.g., AB75) to ensure adherence to established billing protocols.
  • Collaborate with team leads, supervisors, and managers to develop, implement, and refine policies, procedures, and workflows based on audit results.
  • Assist with the training and education of staff on documentation standards, payer requirements, billing procedures, and industry best practices.
  • Participate in quality assurance initiatives and prepare reports for leadership summarizing audit results, performance trends, and opportunities for improvement.
  • Maintain current knowledge of industry regulations, payer policies, and billing software updates applicable to medical billing and accounts receivable.
  • Support internal and external audit requests by gathering documentation, performing reviews, and responding to audit inquiries as needed.
  • Perform manual tasks within Cross Workflow, including but not limited to AR Support Requests and AR Follow-Up Requests, while addressing high-priority emails from Patient Services related to invoices involving legal representation and time-sensitive deadlines.
  • Conduct audits for compliance, as assigned or requested to ensure adherence to company policies, payer guidelines, and regulatory requirements.

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Requirements
Knowledge, Skills, & Abilities
  • Ability to work in a fast-paced environment while maintaining accuracy and focus
  • Strong organizational skills to ensure deadlines are met
  • Strong knowledge of medical billing and accounts receivable processes, including claim lifecycle, denials, and payer rules.
  • Proficient in using billing software and electronic health record (EHR) systems.
  • High attention to detail and accuracy in reviewing documentation and financial records.
  • Analytical skills with the ability to detect patterns, discrepancies, and areas for improvement.
  • Understanding and adhering to HIPAA and other government and healthcare industry regulations.
  • Strong written and verbal communication skills to provide constructive feedback and report findings.
  • Ability to work independently, manage multiple tasks, and prioritize responsibilities effectively.
  • Extensive knowledge of insurance guidelines including Medicare and other government payers, private, self-insurance, and managed-care plans.
  • Familiarity with auditing techniques and principles within a healthcare revenue cycle setting.
  • Knowledge of MS Office including Outlook, Word and Excel
  • Excellent verbal and written communication skills
  • Excellent attention to detail and time management skills
  • Excellent customer service skills.

Education & Experience Requirements
  • High School Diploma
  • Minimum 3-4 years revenue cycle experience

Salary Description
$24.00-$27.00
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About Brault

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

San Dimas, CA, US

Year founded

1990

Social media

Twitter

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