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Surgery Billing Auditor Jobs (NOW HIRING)

Rush University Medical Center

Coding Auditor

Chicago, IL · On-site

$32 - $52.08/hr

... billing, with demonstrated ability to interpret such guidelines. • Demonstrates an advanced ... Preferred Job Qualifications: • Certified Professional Medical Auditor (CPMA) and/or Surgical ...

Rush

Coding Auditor

Chicago, IL · On-site

$32 - $52.08/hr

... billing, with demonstrated ability to interpret such guidelines. • Demonstrates an advanced ... Preferred Job Qualifications: • Certified Professional Medical Auditor (CPMA) and/or Surgical ...

Medasource

PB Coding Auditor

Jacksonville, FL · On-site +1

$26 - $30/hr

Audit complex surgical, cardiology, and specialty professional billing coding for accuracy and ... Experience auditing complex surgical and cardiology coding * Ability to review and provide feedback ...

Medasource

PB Coding Auditor

Jacksonville, FL · On-site

$26 - $30/hr

Audit complex surgical, cardiology, and specialty professional billing coding for accuracy and ... Experience auditing complex surgical and cardiology coding * Ability to review and provide feedback ...

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Surgery Billing Auditor information

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How much do surgery billing auditor jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for surgery billing auditor in the United States is $25.14, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.64 per hour, depending on experience, location, and employer.

What is a surgery billing auditor?

Surgery Billing Auditors are professionals who review and analyze billing records and documentation related to surgical procedures to ensure accuracy, compliance with regulations, and proper reimbursement. They check that coding for surgeries is correct, that all required documentation is present, and that billing practices follow insurance and government guidelines. Their role helps prevent errors, reduce the risk of fraud, and ensure healthcare providers receive appropriate payment for services rendered.

What are the key skills and qualifications needed to thrive as a surgery billing auditor?

To thrive as a Surgery Billing Auditor, you need in-depth knowledge of medical billing, coding (especially CPT and ICD-10), and compliance regulations, often supported by a degree in health administration or related certifications like CPC or CPMA. Familiarity with billing software, electronic health records (EHRs), and auditing tools is typically required. Attention to detail, analytical thinking, and strong communication skills help auditors identify discrepancies and effectively liaise with clinical and administrative staff. These skills are crucial for ensuring accurate billing, maximizing reimbursement, and maintaining compliance with healthcare regulations.

What are some common challenges faced by surgery billing auditors, and how can they be addressed?

Surgery Billing Auditors often encounter challenges such as navigating complex procedural codes, ensuring documentation accuracy, and keeping up with frequent regulatory changes. To address these, it's important to stay updated on coding guidelines, maintain strong attention to detail, and communicate effectively with surgical teams and billing staff. Regular training and collaboration with other auditors can also help in resolving discrepancies and maintaining compliance, ultimately reducing claim denials and optimizing revenue.

What are popular job titles related to Surgery Billing Auditor jobs?

For Surgery Billing Auditor jobs, the most frequently searched job titles are:

Infographic showing various Surgery Billing Auditor job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 84% Full Time, 8% Part Time, and 5% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $52,300 per year, or $25.1 per hour.

Professional Billing (PB) Auditor - Surgical Specialty

Gulfport, FL • On-site

Sage Clinical RCM, LLC
See more jobs at Sage Clinical RCM, LLCexternal

$18 - $20.50/hr

Full-time

Re-posted 5 days ago

Job description

Description:

Position Overview 

The Professional Billing (PB) Auditor – Surgical Specialty provides ongoing audit support for hospital-based physician billing with a focus on complex surgical services. This role is responsible for auditing professional fee claims to ensure accurate coding, regulatory compliance, and risk mitigation, while supporting continuous improvement and education for coding staff. 
Key Responsibilities: 

  • Perform retrospective and/or concurrent audits of professional billing surgical claims 
  • Review operative reports and supporting documentation to validate appropriate CPT, HCPCS, and ICD-10-CM code assignment 
  • Validate modifier usage and bundling in accordance with NCCI edits and payer guidelines 
  • Identify surgical coding trends, compliance risks, and opportunities for improvement 
  • Provide clear, educational feedback to professional billing coders related to surgical coding accuracy 
  • Document audit findings and recommendations in accordance with established audit standards 
  • Support internal and external audit preparedness related to professional fee surgical services 
  • Ensure compliance with CMS, AMA, and payer-specific billing regulations 
Requirements:

 Required Qualifications:

  • Minimum 3+ years of professional billing auditing experience with a focus on surgical services
  • Active CPC, CCS-P, or equivalent coding certification required
  • Strong knowledge of CPT (Surgery section), ICD-10-CM, modifiers, and NCCI edits
  • Experience auditing hospital-based physician surgical billing claims
  • Strong written and verbal communication skills with the ability to provide constructive audit feedback

Preferred Specialty Background:

  • Experience auditing complex specialty encounters in one or more of the following areas:
    • Complex Orthopedic Surgery (beyond routine joint replacement/fracture care)
    • Hematology / Oncology
    • OB/GYN, Maternal-Fetal Medicine, or Maternal-Newborn Services (including familiarity with maternal vs. newborn chart distinctions)
  • CPMA credential or Epic EHR experience