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Remote Medicare Auditor Jobs (NOW HIRING)

Noridian Healthcare Solutions

Provider Auditor II

Fargo, ND · On-site +1

$52K - $78K/yr

* Position is Eligible for Remote / Work from Home Opportunity * Department: JE & JF Provider Audit ... Requires an intermediate level of working knowledge of Medicare rules, regulations (e.g., Code of ...

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 · 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 ...

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Remote Medicare Auditor information

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How much do remote medicare auditor jobs pay per hour?

As of Aug 21, 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 are the key skills and qualifications needed to thrive as a remote Medicare auditor?

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.

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.

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.

How do you become a remote Medicare auditor?

To become a remote Medicare auditor, candidates typically need a background in healthcare, accounting, or auditing, along with knowledge of Medicare policies and billing procedures. Relevant certifications such as Certified Professional Coder (CPC) or Certified Medical Auditor (CMA) can enhance prospects, and strong analytical skills are essential for reviewing claims remotely. Most roles require a computer with secure internet access and familiarity with auditing software or electronic health records systems.
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Remote Medicare Auditor jobs near you
Infographic showing various Remote Medicare Auditor job openings in the United States as of August 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 100% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.

Remote Medicare Cost Auditor II: Compliance & Controls

033 Palmetto GBA

Anchorage, AK • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

BlueCross BlueShield of South Carolina is seeking a remote Senior Auditor to perform internal and external audits, evaluate controls, and identify business risks. The role includes drafting recommendations to improve processes and reporting findings to executive management. The ideal candidate has a Bachelor's degree in a related field and at least two years of auditing experience, with strong analytical and communication skills. This is a full-time remote position with opportunities for travel. #J-18808-Ljbffr

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