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Remote Medical Claim Auditor Jobs (NOW HIRING)

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · On-site +1

$27 - $30.75/hr

Compare the procedures and codes billed on a claim to a medical record. * Compare information ... Remote work eligible REMOTE WORK REQUIREMENTS: * Must have high speed Internet (satellite is not ...

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · Remote

$27 - $30.75/hr

Compare the procedures and codes billed on a claim to a medical record. * Compare information ... Remote work eligible REMOTE WORK REQUIREMENTS: * Must have high speed Internet (satellite is not ...

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · Remote

$27 - $30.75/hr

Compare the procedures and codes billed on a claim to a medical record. * Compare information ... Remote work eligible REMOTE WORK REQUIREMENTS: * Must have high speed Internet (satellite is not ...

Centene

SIU Investigator

Sylmar, CA · On-site +1

$56K - $101K/yr

... years of medical claim investigation, medical claim audit, medical claim analysis, or fraud ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Palos Verdes Estates, CA · On-site +1

$56K - $101K/yr

... years of medical claim investigation, medical claim audit, medical claim analysis, or fraud ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Dos Palos, CA · On-site +1

$56K - $101K/yr

... years of medical claim investigation, medical claim audit, medical claim analysis, or fraud ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Sprinter Health

Medical Auditor - Remote

$36/hr

Remote Level: Associate, Medical Coding Auditor Team: Coding Department What You Will Do * Conduct routine and focused audits of medical coding to ensure compliance with CMS, payer, and ...

Centene

SIU Investigator

La Palma, CA · On-site +1

$56K - $101K/yr

... years of medical claim investigation, medical claim audit, medical claim analysis, or fraud ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Topanga, CA · On-site +1

$56K - $101K/yr

... years of medical claim investigation, medical claim audit, medical claim analysis, or fraud ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Valenz

Certified Medical Claims Auditor

Phoenix, AZ · Remote

Analyze and resolve claim discrepancies that require a deeper level of expertise beyond initial ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:

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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 7, 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 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.

More about Remote Medical Claim Auditor jobs
What cities are hiring for Remote Medical Claim Auditor jobs? Cities with the most Remote Medical Claim Auditor job openings:
What are the most commonly searched types of Medical Claim Auditor jobs? The most popular types of Medical Claim Auditor jobs are:
What states have the most Remote Medical Claim Auditor jobs? States with the most job openings for Remote Medical Claim Auditor jobs include:
What job categories do people searching Remote Medical Claim Auditor jobs look for? The top searched job categories for Remote Medical Claim Auditor jobs are:
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, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $53,259 per year, or $25.6 per hour.

Coding Auditor

Healthcare Fraud Shield

Chesterfield, MO • On-site, Remote

$27 - $30.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

Coding Auditor
Department: SIU
Employment Type: Full Time
Location: Headquarters
Description
The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation.
Key Responsibilities
  • Compare the procedures and codes billed on a claim to a medical record.
  • Compare information submitted on the claims in order to determine amount and nature of billable services as needed.
  • Determines appropriateness of billing and reimbursement as needed.
  • Documents findings for each claim line in a spreadsheet as needed.
  • Summarize findings in a written report as needed.
  • Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from medical records as needed.
  • Responsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations as needed.
  • Understands and complies with all company Privacy and Security standards.
  • Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law.
  • On average, there are a minimum of 5-10 claim line reviews per hour.
  • Other duties as needed.

Skills, Knowledge and Expertise
  • Knowledge of medical terminology.
  • Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10.
  • Knowledge of specialty medical practices.
  • Must be detail oriented.
  • Ability to communicate effectively both verbally and in writing.
  • Strong listening skills.
  • Independent.
  • Responsible.
  • Self-disciplined.
  • Ability to meet defined performance and production goals.
  • Strong computer skills.
  • This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.

Certificate/License:
  • Minimum of one year of investigative experience is required.
  • Required to have one of the following: CPC, CCS, CCA

Benefits
  • Medical, Dental & Vision insurance
  • 401(k) retirement savings with employer match
  • Vacation and sick paid time off
  • 7 paid holidays & 2 floating holidays
  • Paid maternity/paternity leave
  • Disability & Life insurance
  • Flexible Spending Account (FSA)
  • Employee Assistance Program (EAP)
  • Professional and career development initiatives
  • Remote work eligible

REMOTE WORK REQUIREMENTS:
  • Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.

Healthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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