Claims Auditor Jobs
Claims Auditor jobs are open across health insurance, workers' compensation, property and casualty, and managed care, at every level from entry-level examiner to senior and lead auditor, with specializations in clinical coding audits, fraud detection, and claims compliance. Find a role that fits below and apply directly.
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Job Description
A bit about this role:
The role of Clinical Documentation Improvement Auditor is a key part of Devoted’s Quality & Risk Adjustment strategy. This position helps to ensure the accuracy of diagnostic information and coding (ICD-10 CM) by performing audits and medical chart reviews. The Clinical Documentation Improvement Auditor will perform these duties in accordance with ICD-10 CM coding guidelines, internal coding protocols and CMS guidance. This role will assist with provider education, guidance and training related to diagnostic documentation and coding. This role requires some domestic travel to meet with and educate providers and support staff in office locations.
Responsibilities will include:
- Perform Medical Record audits based on organizational priorities. These can include both concurrent Clinical Documentation Improvement (CDI) work flows aswell as retrospective auditing. Coding reviews and/or Audits may lead to the addition, deletion, adjustment or confirmation of diagnoses.
- Review of audit results with CDI Manager. Assist in creating and communicating provider and vendor education regarding trends and areas of opportunity regarding compliant coding practices.
- Assist CDI Manager by making recommendations for process improvements to further enhance coding quality goals and outcomes.
- Handle other related duties as required or assigned, including provider educationand training and working with vendor partners.
- Remain current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance.
Desired Skills and Experience:
- BA/BS in Nursing preferred but not required.
- 3+ years as an outpatient CDI or 5+ years in risk adjustment coding/auditing.
- CPC or CRC certification through AAPC or CDI or CCS certification through AHIMA.
- Prior CPT coding a plus.
Salary range: $58,000 - $85,000 per year
Competencies and Attributes:
- Strong analytical and problem solving skills.
- Strong oral and written communication skills.
- Strong organization and time management skills.
- Ability to work independently.
- Ability to multi-task.
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....
- Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Job Description
A bit about this role:
The role of Clinical Documentation Improvement Auditor is a key part of Devoted’s Quality & Risk Adjustment strategy. This position helps to ensure the accuracy of diagnostic information and coding (ICD-10 CM) by performing audits and medical chart reviews. The Clinical Documentation Improvement Auditor will perform these duties in accordance with ICD-10 CM coding guidelines, internal coding protocols and CMS guidance. This role will assist with provider education, guidance and training related to diagnostic documentation and coding. This role requires some domestic travel to meet with and educate providers and support staff in office locations.
Responsibilities will include:
- Perform Medical Record audits based on organizational priorities. These can include both concurrent Clinical Documentation Improvement (CDI) work flows aswell as retrospective auditing. Coding reviews and/or Audits may lead to the addition, deletion, adjustment or confirmation of diagnoses.
- Review of audit results with CDI Manager. Assist in creating and communicating provider and vendor education regarding trends and areas of opportunity regarding compliant coding practices.
- Assist CDI Manager by making recommendations for process improvements to further enhance coding quality goals and outcomes.
- Handle other related duties as required or assigned, including provider educationand training and working with vendor partners.
- Remain current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance.
Desired Skills and Experience:
- BA/BS in Nursing preferred but not required.
- 3+ years as an outpatient CDI or 5+ years in risk adjustment coding/auditing.
- CPC or CRC certification through AAPC or CDI or CCS certification through AHIMA.
- Prior CPT coding a plus.
Salary range: $58,000 - $85,000 per year
Competencies and Attributes:
- Strong analytical and problem solving skills.
- Strong oral and written communication skills.
- Strong organization and time management skills.
- Ability to work independently.
- Ability to multi-task.
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....
- Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
Claims Auditor Jobs by Experience Level
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Find Claims Auditor JobsClaims Auditor Job Market
Who's Hiring
Top Industries Hiring
- Technology & Software
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in claims auditor jobs.
- Three or more years of experience reviewing medical, workers' compensation, or property claims
- Knowledge of ICD-10, CPT, and HCPCS coding systems for clinical audit roles
- Proficiency with claims management platforms and audit documentation tools
- Professional certification such as CPC, CRC, CFE, or AHFI preferred or required
- Strong understanding of payer contracts, coverage policies, and regulatory compliance standards
- Associate or bachelor's degree in health information management, business, or a related field
Tips for Your Claims Auditor Job Search
Tailor your resume to audit findings
Hiring managers want to see that you've caught errors that cost money. Quantify the types of discrepancies you've identified, such as duplicate billings, upcoded procedures, or coordination-of-benefits errors, rather than listing generic claims review duties.
Highlight your coding credentials upfront
Certifications like CPC, CRC, or CFE signal technical credibility fast. If you hold any, place them in your resume header or a dedicated credentials line, not buried under education. Many screeners filter on these before reading anything else.
Apply early to roles that fit
Migrate Mate lists claims auditor openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by payer type
A Medicare Advantage auditor role requires different expertise than a commercial P&C position. Filter openings by payer or line of business so your experience matches the dominant claim volume the employer handles, then mirror their terminology in your application.
Prepare audit scenario answers for interviews
Interviewers frequently give a sample claim and ask you to walk through your review process. Practice narrating your logic aloud, including how you'd document findings, escalate disputes, and apply the correct policy provision or coverage rule.
Negotiate using compliance complexity, not tenure
When discussing compensation, anchor your ask to the regulatory environment you work in. Roles requiring CMS audit knowledge, ERISA compliance, or state-mandated timelines carry more liability for employers and typically command stronger offers than general claims review positions.
Claims Auditor Jobs: Frequently Asked Questions
Which companies are hiring the most claims auditors?
The companies hiring the most claims auditors right now include Berkley, Conduent, and MedImpact, with the largest share of openings in California, Florida, and Arizona, based on current listings on Migrate Mate as of November 2026. Health insurers, third-party administrators, and managed care organizations consistently account for the majority of postings.
How many claims auditor jobs are remote?
About 92% of claims auditor openings are fully remote or hybrid as of November 2026, reflecting strong demand for auditors who can review digital claims files without being on-site. Roles focused on coding audits and fraud detection tend to be the most remote-friendly, while positions requiring direct coordination with adjusters or providers are more likely to be on-site or hybrid.
How do you become a claims auditor?
Start by gaining experience in claims processing, medical billing, or insurance adjusting so you understand how claims move through a system before you audit them. Earning a recognized certification, such as a Certified Professional Coder or Certified Fraud Examiner credential, strengthens your candidacy significantly. From there, target roles at payers or TPAs where audit functions are distinct from front-line claims handling, and build a portfolio of documented findings and recoveries.
Can I get a claims auditor job with little or no experience?
Entry-level claims auditor roles do exist, particularly at third-party administrators and regional health plans that hire candidates from billing, coding, or customer service backgrounds and train them on audit methodology internally. Focusing on a specific line of business, like dental or workers' compensation, can reduce competition at the entry level. A coding certification and demonstrated attention to detail in a related role often matter more to smaller employers than direct audit experience.
What does the claims auditor interview process look like?
Most employers start with a phone screen focused on your claims background and familiarity with the relevant payer type. A technical assessment follows in many cases, where you review a sample claim or audit report and explain your findings. Final rounds typically involve a panel interview with compliance, finance, or operations leaders who probe your documentation habits, how you handle disputed findings, and your knowledge of applicable coverage rules or regulatory requirements.
Where can I find and apply to claims auditor jobs?
You can find and apply to claims auditor jobs on Migrate Mate, which lists current openings from across the United States. Find roles that match your background and apply directly to each listing without having to track openings across multiple sources.
See All 25 Claims Auditor Jobs
Find roles that match your experience and apply in just a few clicks.
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