ZipRecruiter

Log In

2

Remote Medicare Auditor Jobs (NOW HIRING)

MMC Group

DRG Auditor

San Antonio, TX · Remote

... remote DRG Validation Auditors. As members of the DRG Validation Team and working remotely ... Medicare, and Medicaid Clients. DRG Validation Auditors are charged with rendering appropriate ...

ITC Federal, Inc.

Auditor

$15.25 - $20.50/hr

Remote CLEARANCE: Public Trust - Candidates do not need to be cleared at the time of application ... example, Medicare billing and claims systems, or DoD inventory systems. * Working knowledge of ...

MedKoder

Physician Coding Auditor

Mandeville, LA · Remote

Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule ... Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement.

ITC Federal, Inc.

Senior Auditor

$82K - $101K/yr

Remote CLEARANCE: Public Trust - Candidates do not need to be cleared at the time of application ... example, Medicare billing and claims systems, or DoD inventory systems. * Extensive working ...

Covenant Health

COMPLIANCE AUDITOR

Knoxville, TN · On-site +1

Overview Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote ... with Medicare, Medicaid guidelines and other insurance payor guidelines. * Coordinates with ...

SpendMend LLC

340B Auditor

Perform onsite and remote audits both independently and with support * Conduct audit as a HRSA like ... Medicare Cost Report to Location crosswalk for the client * Perform a gap analysis of policy and ...

Covenant Health

COMPLIANCE AUDITOR

Knoxville, TN · Remote

Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift This position is Remote. Covenant ... with Medicare, Medicaid guidelines and other insurance payor guidelines. * Coordinates with ...

TEKsystems

Risk Adjustment Coding Auditor

Phoenix, AZ · Remote

$32 - $37/hr

Knowledge of Medicare, Medicaid, and ACA Commercial risk adjustment models. * Ability to interpret ... remote position. Application Deadline This position is anticipated to close on Aug 4, 2026. About ...

Posted today

next page

Showing results 1-20

All JobsMedicare Auditor JobsRemote Medicare Auditor Jobs

Remote Medicare Auditor information

See salary details

$10

$19

$46

How much do remote medicare auditor jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for remote medicare auditor in the United States is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $19.23 per hour, depending on experience, location, and employer.

What is a Remote Medicare Auditor?

A Remote Medicare Auditor is a professional who reviews medical records and billing data from a remote location to ensure healthcare providers are complying with Medicare regulations and billing accurately. They analyze documentation to detect errors, fraud, or overpayments and ensure claims meet federal guidelines. These auditors often work for insurance companies, government agencies, or third-party contractors, using specialized software and secure networks to perform their duties. Their work helps maintain the integrity of the Medicare system and supports proper reimbursement for services rendered.

What is the difference between Remote Medicare Auditor vs Remote Medical Coder?

AspectRemote Medicare AuditorRemote Medical Coder
CertificationsMedicare auditing certifications, CPC or CCSCertified Professional Coder (CPC), CCS
Work EnvironmentHealthcare insurance companies, government agenciesHospitals, clinics, billing companies
Industry UsageMedicare/Medicaid compliance, reimbursement reviewMedical record coding, billing documentation

Remote Medicare Auditors and Remote Medical Coders both require healthcare certifications and often work remotely within the healthcare industry. While Medicare Auditors focus on reviewing claims for compliance and reimbursement accuracy, Medical Coders translate medical records into billing codes. Both roles are essential in healthcare finance but differ in their primary responsibilities and certification requirements.

What are the key skills and qualifications needed to thrive as a Remote Medicare Auditor, and why are they important?

To thrive as a Remote Medicare Auditor, you need expertise in medical billing, coding, and healthcare regulations, typically supported by a degree in health information management or a related field and relevant certifications such as CPC or RHIA. Familiarity with auditing software, electronic health records (EHR) systems, and Medicare guidelines is essential. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for this role. These competencies ensure accurate audits, regulatory compliance, and the prevention of billing errors or fraud in a remote healthcare environment.

Does Medicare hire remote workers?

Medicare itself does not directly hire employees; however, many companies that process Medicare claims or provide related services often offer remote positions, including roles like Medicare auditors. These jobs typically require knowledge of healthcare regulations, attention to detail, and sometimes certification, and they may be performed remotely depending on the employer's policies.

What type of auditor gets paid the most?

In the auditing field, senior or lead auditors typically earn the highest salaries due to their experience and responsibility levels. For remote Medicare auditors, those with specialized certifications, extensive experience, and advanced knowledge of healthcare regulations tend to command higher pay. Salary also varies based on industry demand, location, and employer size.

Can you work remotely as an auditor?

Remote Medicare auditors can often perform their duties from home, especially if they have access to necessary electronic health records and auditing tools. Many organizations offer remote positions for auditors, requiring strong computer skills, attention to detail, and relevant certifications. However, some audits may require on-site visits or in-person meetings depending on the employer's policies.

How do I become a Medicare auditor?

To become a Medicare auditor, typically one needs a background in healthcare, accounting, or auditing, along with knowledge of Medicare policies and regulations. Relevant certifications such as Certified Professional Coder (CPC) or Certified Medical Auditor (CMA) can enhance prospects, and experience with healthcare billing or claims review is often required. Employers may also prefer familiarity with auditing tools and software used in healthcare compliance.

What are some common challenges faced by Remote Medicare Auditors, and how can they be addressed?

Remote Medicare Auditors often encounter challenges such as navigating complex regulations, maintaining up-to-date knowledge of Medicare policies, and ensuring secure access to sensitive patient data while working offsite. To address these issues, auditors should regularly participate in training sessions, leverage secure virtual private networks (VPNs), and collaborate closely with compliance and IT teams. Staying organized and proactive in communication also helps in managing caseloads and clarifying ambiguous documentation.
More about Remote Medicare Auditor jobs
What cities are hiring for Remote Medicare Auditor jobs? Cities with the most Remote Medicare Auditor job openings:
What are the most commonly searched types of Medicare Auditor jobs? The most popular types of Medicare Auditor jobs are:
What states have the most Remote Medicare Auditor jobs? States with the most job openings for Remote Medicare Auditor jobs include:
What job categories do people searching Remote Medicare Auditor jobs look for? The top searched job categories for Remote Medicare Auditor jobs are:
Remote Medicare Auditor jobs near you
Infographic showing various Remote Medicare Auditor job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.

Remote Pro Fee Auditor/Educator

Presbyterian Healthcare Services

Santa Fe, NM • On-site, Remote

$57K - $97K/yr

Full-time

Medical, Dental, Vision, Life

Re-posted 23 days ago

Presbyterian Healthcare Services rating

7.0

Company rating: 7.0 out of 10

Based on 162 frontline employees who took The Breakroom Quiz

416th of 890 rated healthcare providers

Job description

Location Address:
Remote OfficeSanta Fe, NM 87501
Compensation Pay Range:
Minimum Offer $57,241.60Maximum Offer $97,468.80Now Hiring: Remote Pro Fee Auditor/Educator
Summary:
Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Pro Fee Auditor/Educator to join our team.Type of Opportunity: Full timeJob Exempt: YesJob is based: Remote Workers New MexicoWork Shift: Days (United States of America)
Responsibilities:
Presbyterian is seeking a talented Pro Fee Auditor/Educator
With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Works on special coding compliance related projects, develops and presents educational programs, disseminates information to PHS/PMG departments and develops educational tools used to maintain compliance with regulations. Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations
Some key responsibilities include:
  • Liaison to the Manager, Information Services, Finance/Patient Financial Services, all hospitals, all PMG sites, PHP, Home Health, Albuquerque Ambulance, Compliance and all ancillary departments in addressing functional coding, auditing, compliance and training issues and problems. Interacts with all levels of management.esponsible for maintaining accurate, complete and timely documentation in either electronic or hard copy form
  • Must be able to adapt to frequently changing work priorities and schedules. Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9, ICD-10, CPT-4, HCPCS and APC updates and changes
  • Researches coding, billing and charging compliance issues, recommends and implements corrective action plans that assure compliance with regulatory agencies where appropriate. Identifies risks, develops and follows up on action plans, identifies lost revenue opportunities and any overpayments due to errors in coding and/or documentation, and provides compliance education
  • Assists in the creation of the CDQA Annual Audit Work-plan by utilizing the OIG work plan, Medicare and Medicaid regulations, RAC and other audit agency focuses, as well as internal and external risk assessments
  • Regularly exercises independent judgment in determining the reliability of data reviewed; recommends changes in existing practices to gain or maintain compliant behavior. Keeps actively informed on the business climate of the healthcare industry
  • Responds to inquiries and requests daily regarding coding and auditing issues and problems and ad-hoc analysis for all PHS management

Qualifications:
  • High school diploma/GED required. Must possess at least one of the following license/certifications: RHIT, RHIA, CPC, CCS and a minimum of three (3) years experience in coding and/or auditing required.
  • Audit experience preferred. Excellent written and verbal communication skills.
  • Excellent written and verbal communication skills.
  • Detail and results oriented. Ability to work independently and make independent decisions. Medical terminology, ICD-9, CPT-4 and HCPCS knowledge required.
  • Must have a proficient knowledge of Medicare, Medicaid, and other third party payer documentation, coding, and billing regulations for service lines(s) assigned.
  • Must possess excellent organizational and planning skills, including the ability to prioritize multiple tasks and perform them both accurately and simultaneously.
  • Must possess computer skills, especially with Microsoft Word, PowerPoint, and Excel applications. Must be able to use the internet and other resource applications for research purposes and to provide documentation that supports regulations quoted in audits.
  • Must possess strong written and verbal communication skills in order to communicate in clear, concise terms to management at all levels, including the ability to articulate complex regulatory information in laymans terms.
  • Must possess a personal presence of a highly qualified professional that is characterized by a sense of honesty, integrity, and the ability to inspire and motivate others.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

What Presbyterian Healthcare Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Presbyterian Healthcare Services logo

About Presbyterian Healthcare Services

Sourced by ZipRecruiter

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Albuquerque, NM, US

Year founded

1908

Social media

FacebookTwitter

View All Presbyterian Healthcare Services Jobs

Apply