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Remote Medicare Auditor Jobs (NOW HIRING)

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 ...

GeBBS Healthcare Solutions

Coding Compliance Auditor

$36/hr

Job Type Full-time Description GeBBS Healthcare Solutions Full-Time Remote Help Shape the Future of ... Strong understanding of Medicare reimbursement methodologies, including MS-DRGs, IPPS, OPPS, and ...

Froedtert Health

CODING EDUCATOR & AUDITOR (REMOTE)

$24.05 - $38.48/hr

US:WI:MANITOWOC This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift ... Knowledge of revenue cycle with a focus on Medicare and Medicaid regulatory and billing guidelines ...

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ...

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Remote Medicare Auditor information

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$10

$19

$46

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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What cities are hiring for Remote Medicare Auditor jobs?

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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 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.

COMPLIANCE AUDITOR

Covenant Health

Knoxville, TN • On-site, Remote

Full-time

Re-posted 19 days ago

Job description

Overview
Compliance Auditor
Full Time, 80 Per Hour Pay Period, Day Shift
This position is Remote.
Covenant Health Overview:
Covenant Health is East Tennessee's top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area's largest employer with over 11,000 employees. Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer.
Position Summary:
Performs complex professional internal auditing. Work involves compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. Also provides consulting services to the organization's management and staff and may participate in requested investigations. Maintains all organizational and professional ethical standards. Works independently under limited supervision. Reports to the Compliance Audit Manager.
Responsibilities
  • Identifies and evaluates company risk areas and provides auditing procedures related to documentation coding and billing, including reviewing and analyzing findings.
  • Reviews and studies all information published by the federal government, fraud alerts, legal advisory opinions, and other publications related to coding, billing and reimbursement compliance, staying abreast of current regulations.
  • Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure compliance with Medicare, Medicaid guidelines and other insurance payor guidelines.
  • Coordinates with appropriate parties to complete over or under payments of claim errors identified during audits in accordance with Audit Policy.
  • Communicates or assists in communicating the results of audit project via written reports and/or oral presentations to physicians, clinical management, and presents as needed to related committees.
  • Documents all audit activities in a designated location; reports statistics and identified problems as directed by the Audit Workflow Process and Policy.
  • Assists with special projects as requested by
  • Works in conjunction with health information management, patient accounting, information systems and other personnel to assist with implementation of solutions to mitigate risk.
  • Under the direction of leadership, reviews and evaluates ongoing activities involved in the baseline and periodic compliance audits and compliance programs as deemed appropriate by manager.
  • Advises, educates and acts as clinical/billing liaison between system-wide facility leaders, department managers and billing staff as designated by manager in relation to audit findings and process improvement initiatives.
  • Works independently and demonstrates the ability to successfully locate, interpret and apply regulations with which they may be otherwise unfamiliar, and recognizes situations which necessitate supervision and guidance from leadership.
  • Maintains lines of communication with Facilities/Clinics in an ongoing effort to improve the overall quality of customer service.
  • Motivates coworkers and promotes a team effort in accomplishing goals and deadlines with accuracy, dependability and professionalism.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned.

Qualifications
Minimum Education:
None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Minimum Experience:
Three (3) to five (5) years' experience in health care. Good working knowledge of healthcare billing, Medicare/Medicaid billing guidelines, and other Third-Party Payor rules and regulations. Experience in problem solving and analytical reviews. Must be knowledgeable in use of PC's, Windows, Excel and Word Processing. Must have good public relations skills.
Licensure Requirement:
Must have and maintain RHIT, RHIA, CCS, CPC (or equivalent certification), or current TN RN License with equivalent coding experience.

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