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Sarah Jenkins
Remote Medical Auditor jobs in the United States
Job type
Min. salary, $/year
Level
The demand for skilled healthcare compliance professionals continues to rise across the United States, and 500+ medical auditor remote jobs are now open for qualified candidates. Organizations nationwide are seeking auditors who can review clinical documentation and ensure billing accuracy from the comfort of their own home. This growing field offers flexibility and strong career prospects for professionals in the healthcare auditing space.
Successful candidates typically bring strong knowledge of medical coding systems, HIPAA regulations, and payer guidelines, along with sharp analytical skills to detect discrepancies in claims and patient records. Employers often look to hire a medical auditor who holds certification such as CPC or CCS, combined with excellent attention to detail and clear written communication. Experience with electronic health record systems and audit software is highly valued, as is the ability to work independently while meeting strict deadlines.
Remote medical auditor positions in the USA often follow flexible schedules, allowing professionals to balance thorough case reviews with personal commitments while staying connected through digital collaboration tools. As healthcare providers expand telehealth and virtual compliance programs, the market for remote auditing talent keeps strengthening nationwide, creating steady opportunities across hospitals, insurance companies, and consulting firms alike.
If you are ready to advance your career, explore the latest medical auditor vacancies and discover how Global Work AI connects talented professionals with top healthcare employers nationwide. Take the next step toward a rewarding remote career by applying today.
Devoted Health
Perform medical record audits and coding reviews based on organizational priorities, including concurrent and retrospective workflows. Review audit results with the CDI Manager and assist in provider education regarding compliant coding practices.
remote, United States$58k – $85k/yrFull TimeMiddle (2-4 years)
Blue Cross Blue Shield of Massachusetts
Lead a team of DRG validation auditors performing clinical validation and DRG reviews. Oversee pre-payment and post-payment audits, ensuring accuracy in claims reimbursement and compliance with coding guidelines.
remote, MA, United States$117k – $143k/yrFull TimeLead / Manager
SCAN Health Insurance
Conduct pre-pay and post-pay audits of claims payments and denials to ensure accuracy. Ensure compliance with regulatory standards and maintain quality by utilizing knowledge of claims processing.
remote, United States$51k – $74k/yrFull TimeMiddle (2-4 years)
Brault
Conduct audits of billing activities, including claim submissions and collections. Review account documentation for accuracy and compliance, identifying errors and trends. Provide audit findings and recommendations to improve performance.
remote, San Dimas, CA, United StatesFull TimeMiddle (2-4 years)
Cook Children's Health Care System
Conduct coding quality reviews for inpatient and outpatient services, ensuring compliance with ICD-10-CM/PCS and CPT-4 guidelines. Develop and implement coding education and training programs based on audit findings and regulatory updates.
remote, TX, United StatesFull TimeLead / Manager
Shirley Ryan AbilityLab
Conduct audits to ensure medical records meet standards and regulations. Code inpatient and outpatient medical records for billing compliance, assist with Medicaid and Medicare audits, and provide training to coding staff.
remote, United States$51k – $86k/yrFull TimeJunior (<2 years)Community Health System Services LLC
Review and audit medical documentation and coding across multiple specialties. Deliver audit reports, provide education to providers, and support coders in compliance opportunities. Perform coding tasks as needed to meet team priorities.
remote, United States$67k – $76k/yrFull TimeMiddle (2-4 years)
EXL
Oversee clinical CVA auditors to ensure accuracy in DRG coding. Conduct quality reviews of clinical audits, mentor auditors, and recommend process improvements. Provide root cause analysis on errors and communicate findings to management.
remote, United States$60k – $99k/yrFull TimeLead / Manager
AnewHealth
Conduct clinical validation audits and review patient encounters for documentation accuracy and ICD-10 code assignment. Perform prospective, retrospective, and RADV audits as needed.
remote, United StatesFull TimeJunior (<2 years)
Advantmed
Learn and apply HEDIS concepts based on Technical Specifications and client guidance. Complete training on HEDIS measures, including recorded demos and assessments. Provide knowledge transfer to abstractors during their training phase and live season.
remote, United States$50k – $60k/yrPart TimeJunior (<2 years)
Centene Corporation
Conduct medical record audits and analyze practice coding patterns. Provide education and training on risk adjustment to ensure accurate CMS payments. Collaborate with departments to ensure compliance with CMS guidelines and develop interventions based on MRA data analysis.
remote, NV, United States$56k – $101k/yrFull TimeSenior (5+ years)
S1 Medical
Review medical bills to identify discrepancies with medical documentation and reimbursement standards. Validate medical charges using various pay data resources and collaborate with project managers to streamline auditing processes.
remote, United StatesFull TimeJunior (<2 years)
Cotiviti
Develop and deliver technical training for Clinical Chart Validation teams, including creating training materials and assessments. Mentor new team members and support audit accuracy through training.
remote, United States$107k – $119k/yrFull TimeSenior (5+ years)
Intermountain Health
Conduct clinical charge audits of medical records for denials review and retrospective audits. Serve as a clinical resource for Revenue Cycle departments, ensuring compliance with laws and regulations.
remote, UT, United States$83k/yrFull TimeJunior (<2 years)HCCS - Healthcare Coding & Consulting Services
Conduct inpatient audits, validate DRG assignments, and ensure compliance with coding guidelines. Identify coding opportunities and provide clear audit findings. Collaborate with healthcare professionals to maintain high-quality coding services.
remote, United StatesPart TimeMiddle (2-4 years)
Machinify
Lead the development and implementation of AI-powered healthcare solutions. Collaborate with cross-functional teams to enhance platform capabilities and ensure compliance with healthcare regulations. Analyze data to drive insights and improve financial outcomes for health plans.
remote, United StatesFull TimeJunior (<2 years)
Professional Credit Service
Review inpatient facility medical coding for accuracy and compliance, ensuring adherence to coding guidelines. Conduct quality assurance audits and provide feedback to coding staff.
remote, United States$81k – $91k/yrFull TimeLead / Manager
Elevance Health
Audit diagnosis data from physician and hospital medical records for ICD-9/ICD-10 coding compliance. Assist with National and Targeted Risk Adjustment Data Validation audits. Represent the department in business leadership groups and identify training opportunities.
remote, MO, United StatesFull TimeSenior (5+ years)MaineHealth
Conduct medical audit reviews and analyses of clinical and technical records. Evaluate billing and documentation processes, identify improvement opportunities, and ensure compliance with healthcare regulations.
remote, United States$66k – $89k/yrFull TimeSenior (5+ years)Elevance Health
Audit inpatient medical records to ensure clinical documentation supports billed conditions and DRGs. Analyze claims using ICD-10 coding principles and clinical guidelines. Utilize audit tools and workflow systems to generate audit determinations and findings.
remote, United StatesFull TimeSenior (5+ years)Machinify
Conduct comprehensive audits of pre and post pay claims using various resources, including claims data and payment guidelines. Serve as a claims billing expert for data teams, develop reimbursement policies, and ensure compliance with regulatory requirements.
remote, United States$85k/yrFull TimeMiddle (2-4 years)EXL
Review output of queries to identify potential overpayments and perform audits according to internal policies. Document findings in production systems, ensuring clear articulation of reasons for non-overpayments.
remote, United States$37k – $60k/yrFull TimeJunior (<2 years)Managed Resources
Audit CPT, HCPCS, ICD-10-CM codes, and modifiers from medical records. Enter audit data into software, evaluate physician documentation, and perform accurate coding. Provide feedback on audit results and communicate with clients regarding coding clarifications and documentation issues.
remote, United States$56k – $62k/yrFull TimeSenior (5+ years)
Health Services Advisory Group, Inc.
Lead HEDIS compliance audits and performance measure validation activities. Evaluate information systems, data integrity, and measure calculation processes. Conduct primary source verification and record-level testing, and prepare audit workpapers and client-facing reports.
remote, United States$100k – $130k/yrFull TimeSenior (5+ years)
Noridian Healthcare Solutions, LLC
Conduct CMS and financial analysis, perform desk reviews and audits to ensure proper reimbursement for healthcare providers. Review audit programs for compliance, recommend corrective actions, and prepare reports on audit results.
remote, United States$60k – $99k/yrFull TimeSenior (5+ years)EXL
Review inpatient medical records to validate DRG codes, applying clinical and coding knowledge to identify inaccuracies and potential overpayments. Document findings clearly and professionally, and utilize industry tools like 3M or Webstrat.
remote, United States$60k – $99k/yrFull TimeMiddle (2-4 years)Healthcare Coding And Consulting Svcs
Conduct inpatient audits, validate DRG assignments, and perform complex inpatient coding. Identify coding opportunities and provide clear audit findings. Ensure compliance with ICD-10-CM/PCS coding guidelines and reimbursement methodologies while delivering high-quality coding services to clients.
remote, United StatesFull TimeMiddle (2-4 years)
Baptist Health South Florida
Conduct comprehensive audits of coding and billing for physician and clinical fees, ensuring accuracy and compliance with documentation standards. Develop and deliver educational materials and training sessions based on audit findings and regulatory changes.
remote, United States$54k – $71k/yrFull TimeMiddle (2-4 years)
BlueCross BlueShield of South Carolina
Conduct operational, compliance, and financial audits, evaluating internal controls and identifying business risks. Draft audit reports with findings and recommendations for management. Analyze data to detect deficiencies and ensure compliance with laws and regulations.
remote, United States$49k – $95k/yrFull TimeMiddle (2-4 years)
Palmetto GBA
Conduct operational, compliance, and financial audits, evaluating internal controls and identifying business risks. Document issues and draft recommendations to improve processes. Write audit reports for management, analyze data for deficiencies, and conduct testing of corrective actions.
remote, United States$49k – $95k/yrFull TimeMiddle (2-4 years)
Wellstar Health System
Evaluate clinical documentation accuracy and quality, conducting audits and providing feedback to improve documentation practices. Collaborate with CDI team and providers to enhance clinical documentation integrity and ensure compliance with coding standards.
remote, United StatesFull TimeJunior (<2 years)Machinify
Perform medical claims audit reviews for inpatient and outpatient services, applying medical review guidelines. Document findings and generate audit letters. Support findings during appeals and collaborate with the audit team to identify vulnerabilities.
remote, United StatesFull TimeSenior (5+ years)
Integrity Management Services, Inc.
Perform audits on Medicaid Managed Care Plans and providers to identify fraud, waste, and abuse. Conduct desk and onsite reviews, analyze financial documents, and utilize data mining tools.
remote, United States$55k – $75k/yrFull TimeSenior (5+ years)
CoventBridge Integrity Systems
Conduct clinical reviews of medical records for fraud investigations and program integrity initiatives. Analyze claims history and provider files to detect fraudulent billing practices.
remote, OH, United States$78k – $85k/yrFull TimeMiddle (2-4 years)Health Services Advisory Group, Inc.
Provide leadership and operational oversight for Medicaid Services audit projects, including PMV and HEDIS activities. Manage project planning, implementation, and performance monitoring, ensuring deliverables are accurate and submitted on time.
remote, United States$133k – $160k/yrFull TimeDirector
Peraton
Conduct audits and reviews of Medicaid programs for compliance with federal and state requirements. Perform data analysis, interpret laws, and evaluate unique circumstances to make recommendations. Organize case files, document audit steps, and present findings on regulatory violations.
remote, CT, United States$51k – $82k/yrFull TimeJunior (<2 years)Alliance
Manage quality review processes for provider-led care management programs, conducting audits and reviews for compliance with NC DHHS guidelines. Analyze program data to identify trends and develop corrective action plans.
remote, NC, United States$60k – $76k/yrFull TimeMiddle (2-4 years)Machinify
Perform medical claims audit reviews for government clients, ensuring compliance with medical review guidelines. Document findings, generate audit letters, and support findings during appeals. Collaborate with the audit team to identify vulnerabilities and improve medical policies.
remote, United StatesFull TimeSenior (5+ years)
Omega Healthcare Solutions
Review inpatient and outpatient medical records for coding accuracy, including ICD-10-CM, ICD-10-PCS, and CPT codes. Identify physician query opportunities, write compliant queries, and assess coding accuracy for various cases.
remote, United StatesFull TimeJunior (<2 years)EXL
Oversee clinical CVA auditors to ensure accuracy in DRG coding. Conduct quality reviews of clinical audits, mentor auditors, and recommend process improvements. Provide root cause analysis on errors and communicate findings to management.
remote, United States$85k – $110k/yrFull TimeLead / Manager10,000,000+ more jobs available!
