Top 583 Health auditor Jobs

Claims Auditor
RiteChoice Rx —Remote
- Full-time
- Remote
- Mid-level
- Continuous improvement
- Travel
- Health insurance
- Dental insurance
Quick Apply
Medical Quality Assurance Auditor
Universal Rehabilitation Institute —Livingston, NJ
- Up to $80,000 a year
- Full-time
- Background check
- Experience working with individuals with developmental disabilities
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Compliance Auditor II
Inland Empire Health Plan —Rancho Cucamonga, CA
- $80,059.20 - $106,059.20 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Disability insurance
- Health insurance
Medical Coding Auditor
IN Compass Health —Alpharetta, GA
- Full-time
- 5 years
- Acute care experience
- In-person
- Health insurance
- Dental insurance
Quick Apply
Inpatient Coding Auditor
e4health —Remote
- From $40 an hour
- Part-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Profit sharing
- Disability insurance
Quick Apply
Patient Safety DRG Coding Auditor Principal
Elevance Health —Indianapolis, IN
- $116,128 - $210,864 a year
- Full-time
- Bachelor of Science
- Bachelor's degree
- Continuous improvement
- Employee stock purchase plan
- Paid holidays
Ambulatory Coding Education & Audit Specialist
CaroMont Health —Gastonia, NC
- Full-time
- Word processing
- Primary Care
- Research
Risk Adjustment Coding Auditor
Vytwo —Dallas, TX
- Full-time
- 5 years
- Senior level
Quick Apply
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Brooklyn, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Coding Quality Auditor
North Florida Surgeons, P.A. —Jacksonville, FL
- Mid-level
- High school diploma or GED
- Continuous improvement
Quick Apply
9d
Risk Adjustment Coding Auditor
Clever Care Health Plan —Huntington Beach, CA
- $72,800 - $80,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- Microsoft Excel
Coding and Medical Records Auditor - Franklin, TN
TruHealth LLC —Franklin, TN
- Full-time
- Mid-level
- Office
- 2 years
Quick Apply
6h
Pharmacy Part D Auditor
Clever Care Health Plan —Huntington Beach, CA
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- Background check
- Bachelor of Science
- Mid-level
Pharmacy Technician - Internal Auditor - PT - Days - MSP
Memorial Healthcare System —Miramar, FL
- Part-time
- Customer service
- 5 years
- Mid-level
Internal Auditor - Pharmacy Technician - FT - Days - MHP
Memorial Healthcare System —Pembroke Pines, FL
- Full-time
- Customer service
- 5 years
- Mid-level
10d
Healthcare Claims Compliance Auditor (RCM)
ERN Enterprises, Inc. —Costa Mesa, CA
- $37,440 - $60,552 a year
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Coding Quality Auditor
Houston Methodist —Georgia
- Full-time
- Anatomy knowledge
- English
- Mid-level
Coding Quality Auditor
Houston Methodist —Tennessee
- Full-time
- Anatomy knowledge
- English
- Mid-level
Coding Quality Auditor
Houston Methodist —Texas
- Full-time
- Anatomy knowledge
- English
- Mid-level
Coding Quality Auditor
Houston Methodist —Louisiana
- Full-time
- Anatomy knowledge
- English
- Mid-level

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Claims Auditor

RiteChoice Rx
Remote

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Optimizing workflow processes
Risk-based auditing
Audit report preparation
Corporate training
Regulatory compliance in claims processing
Healthcare documentation compliance audits
Medical billing compliance checks
Mid-level
Pharmacy technician experience
Data integrity and documentation
Medical billing data reporting
Health insurance knowledge
Continuous improvement
Issue tracking
Compliance documentation
Document review
Internal compliance assessments
Reporting on compliance risks
State and federal pharmacy laws
Insurance claims auditing
Claims documentation management
Internal audit control reports
Healthcare claims compliance audits
Healthcare coding investigations
Documentation review
Audit support

Full Job Description

Are you detail-oriented, analytical, and interested in helping pharmacies strengthen compliance and reduce audit risk? Do you enjoy reviewing information, identifying patterns, and helping teams improve their processes? RiteChoice Rx may be the right fit for you.

At RiteChoice Rx, you’ll be part of a growing independent pharmacy organization that partners with community health centers and providers to support patients across Philadelphia and surrounding areas. Our mission is simple: provide fast, friendly, and affordable pharmacy services to the communities we care about.

We are seeking an organized and compliance-focused Claims Auditor to join our Compliance Department. This role will support internal pharmacy claims auditing, help identify billing and documentation discrepancies, and work closely with pharmacy teams and operational leadership to strengthen audit readiness.

The ideal candidate is someone who can review claim details carefully, communicate findings clearly, and support a culture of compliance across the organization. Pharmacy auditing, medical billing auditing, or pharmacy technician experience is strongly preferred.

Supervision

The Claims Auditor will report directly to the Compliance Manager.

This is a full-time position.
This position is remote, with occasional travel to the corporate office.

Essential Job Duties

Perform routine internal audits of pharmacy claims to ensure billing accuracy, proper documentation, and compliance with federal, state, PBM, and company requirements.
Review submitted and adjudicated claims to confirm that key claim elements are accurate, including patient information, prescriber details, medication, quantity, day supply, DAW codes, origin codes, insurance billing, and supporting documentation.
Identify, investigate, and document claim discrepancies, billing irregularities, documentation deficiencies, refill timing concerns, override issues, cash billing variances, and other potential audit risks.
Ensure claims are properly supported by required documentation, including hardcopy notes, signatures, delivery records, claim history, payer communication, rebill notes, reversal activity, and override documentation.
Monitor pharmacy billing practices to help reduce audit exposure, chargebacks, and compliance concerns.
Track audit findings and identify patterns or recurring issues that may point to workflow, training, or process gaps.
Communicate audit results, trends, and potential risks to the Compliance Manager, pharmacy leadership, and operational teams.
Partner with pharmacy teams and operational leadership to help correct claim issues, strengthen front-end workflows, and improve overall audit readiness.
Develop reports and summaries that show claim accuracy, audit trends, correction timelines, recurring errors, and opportunities for improvement.
Support training and education for pharmacy staff on insurance requirements, documentation expectations, billing practices, and audit readiness.
Participate in cross-training, peer review, and process improvement efforts to support consistency across pharmacy locations.
Maintain professionalism, confidentiality, and integrity in all audit-related activities.

Qualifications

Medical billing auditing experience
Pharmacy auditing or pharmacy technician experience preferred
Applies Growth Mindset - Actively seeking new ways to grow and be challenged.
Demonstrates a deep understanding of the pharmacy regulations.
Thinks and acts strategically.
Ensures Outcomes - minimizes company exposure to outside auditors and regulators.
Participates actively within a High Performing Teams.
Engages and inspires other
Communicates to ensure readiness to execute programs

Benefits

Work for an engaging and growing company.
Health and vision insurance.
Dental insurance.
Paid time off.
401(k) with employer matching.
Competitive salary.
Performance-based bonus eligibility, if applicable.

Schedule

Full-time position.
Remote work setting.
Occasional travel to the corporate office may be required.
Monday to Friday schedule anticipated.

Quick Apply

Refine Your Search

health auditor jobs

Claims Auditor

Medical Quality Assurance Auditor

Compliance Auditor II

Medical Coding Auditor

Inpatient Coding Auditor

Patient Safety DRG Coding Auditor Principal

Ambulatory Coding Education & Audit Specialist

Risk Adjustment Coding Auditor

Coder Auditor/Senior CDI Specialist

Medical Coding Quality Auditor

Risk Adjustment Coding Auditor

Coding and Medical Records Auditor - Franklin, TN

Pharmacy Part D Auditor

Pharmacy Technician - Internal Auditor - PT - Days - MSP

Internal Auditor - Pharmacy Technician - FT - Days - MHP

Healthcare Claims Compliance Auditor (RCM)

Coding Quality Auditor

Coding Quality Auditor

Coding Quality Auditor

Coding Quality Auditor

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