Top 591 Health auditor Jobs

Manager of Compliance Audit
PROVIDER RESOURCES INC —Remote
- $105,000 - $155,000 a year
- Full-time
- Remote
- 5 years
- Senior level
- Analytics
Quick Apply
Claims Auditor
RiteChoice Rx —Remote
- Full-time
- Remote
- Mid-level
- Continuous improvement
- Travel
- Health insurance
- Dental insurance
Quick Apply
Auditor, Compliance (Remote in FL)
Molina Healthcare —Florida
- $54,922 - $107,099 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- 2 years
- Health insurance
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
Risk Adjustment Coding Auditor
Vytwo —Dallas, TX
- Full-time
- 5 years
- Senior level
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 & Regulatory Audit Manager
Alhambra EP, LLC —Sacramento, CA
- Full-time
- Microsoft Word
- Microsoft Outlook
- Bachelor of Science
8d
Risk Adjustment Auditor and Physician Educator
Valley Medical Center —Renton, WA
- $86,267 - $129,401 a year
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
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
Ambulatory Coding Education & Audit Specialist
CaroMont Health —Gastonia, NC
- Full-time
- Word processing
- Primary Care
- Research
Pharmacy Technician - Internal Auditor - PT - Days - MSP
Memorial Healthcare System —Miramar, FL
- Part-time
- Customer service
- 5 years
- Mid-level
DRG Coding Auditor - MS-DRG and APR-DRG
Elevance Health —Chicago, IL
- $92,880 - $160,218 a year
- Full-time
- 5 years
- Bachelor of Science
- Bachelor's degree
- Employee stock purchase plan
- Paid holidays
6d
Internal Auditor - Pharmacy Technician - FT - Days - MHP
Memorial Healthcare System —Pembroke Pines, FL
- Full-time
- Customer service
- 5 years
- Mid-level
10d
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
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 Auditor and Educator (MUST RESIDE IN WA STATE)
Valley Medical Center —Renton, WA
- $32.39 - $46.96 an hour
- Online Application
- Background check
- Anatomy knowledge
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
9d
DRG Coding Auditor Principal
Elevance Health —Mason, OH
- $122,240 - $183,360 a year
- Full-time
- RN License
- Bachelor of Science
- Bachelor's degree
- Employee stock purchase plan
- Paid holidays
1d
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
Medicare Risk Auditor (MRA, CRC Coder) On-site position
Medical Consultants of Florida —Miami Lakes, FL
- From $23.75 an hour
- Full-time
- Bilingual
- Background check
- Medicine
- Paid holidays
- Health insurance
Quick Apply
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Manager of Compliance Audit

PROVIDER RESOURCES INC -
Remote

Quick Apply

Job Details

Full-time
$105,000 - $155,000 a year

Qualifications

Quality control corrective actions
Quality records maintenance
Process audits
Case assessment
Audit report preparation
5 years
Preventive action implementation
CMS
Healthcare documentation compliance audits
Corrective and preventive actions (CAPA)
Inspection reporting and documentation
Quality control audit
Audit Reporting
CMS regulatory compliance
Quality assurance audits
Medicare regulations
Regulatory readiness in healthcare
Investigating compliance violations
Senior level
Audit support
Analytics

Full Job Description

About the role:

Provider Resources Inc. (PRI) is looking for a Manager of Compliance Audit to own our IDR determination audit function. This is an individual contributor role for a compliance professional with deep IDR and No Surprises Act knowledge who can audit case-level determinations, identify systemic patterns, and drive corrective action in a fast-scaling, CMS-regulated environment.

What you will do:

Audit IDR operational determinations for accuracy, consistency, and CMS regulatory compliance
Identify patterns across reviewers, case types, and program lines and escalate systemic findings
Maintain audit documentation and findings reports to URAC and CMS standards
Track findings through CAPA to resolution
Support external URAC and CMS audit preparation

What we are looking for:

5 to 8 years compliance or auditing experience in a healthcare or regulated environment
Direct knowledge of the IDR process, No Surprises Act, and CMS IDR regulations — IDRE or IRO experience preferred
Experience conducting structured compliance audits and producing findings reports
Analytical — comfortable identifying patterns across large case volumes
URAC or NCQA audit familiarity preferred

Why PRI:

Meaningful work — PRI processes payment disputes that directly protect patients from unexpected medical bills under the No Surprises Act
Growth stage — we are building the systems, processes, and team that will define PRI for the next decade
Skills framework — every role at PRI has a defined skills ontology with clear growth paths and Udemy development pathways
Lean and direct — decisions get made, work is visible, and contributions matter

PRI is an equal opportunity employer. We evaluate candidates on demonstrated skills and capability.

About PROVIDER RESOURCES INC

Join Provider Resources (PRI) and Make an Impact in Healthcare! At PRI, we’re passionate about driving integrity and advancing quality across the healthcare system. As a trusted leader in the industry, we’re tackling some of healthcare’s biggest challenges—improving compliance, advancing health equity, and enhancing quality and clinical outcomes while helping organizations improve care delivery and create meaningful change. We believe that people are at the heart of healthcare, and focus on scalable, person-centered strategies that prioritize clinical excellence and evidence-based practices. Our work supports a broad network of stakeholders, including providers, patients, caregivers, payers, and regulators. We strive to enhance experiences, improve outcomes, and foster a healthier future for all. If you’re looking to be part of a forward-thinking team that makes a difference, PRI is the place for you!

Quick Apply

Refine Your Search

health auditor jobs

Manager of Compliance Audit

Claims Auditor

Auditor, Compliance (Remote in FL)

Compliance Auditor II

Medical Coding Auditor

Risk Adjustment Coding Auditor

Medical Quality Assurance Auditor

Compliance & Regulatory Audit Manager

Risk Adjustment Auditor and Physician Educator

Coder Auditor/Senior CDI Specialist

Ambulatory Coding Education & Audit Specialist

Pharmacy Technician - Internal Auditor - PT - Days - MSP

DRG Coding Auditor - MS-DRG and APR-DRG

Internal Auditor - Pharmacy Technician - FT - Days - MHP

Pharmacy Part D Auditor

Risk Adjustment Coding Auditor

Coding Auditor and Educator (MUST RESIDE IN WA STATE)

DRG Coding Auditor Principal

Patient Safety DRG Coding Auditor Principal

Medicare Risk Auditor (MRA, CRC Coder) On-site position

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