Clinical Auditor Jobs
Clinical Auditor jobs are open across healthcare systems, insurance companies, government agencies, and consulting firms, from entry-level to senior and director roles, with specializations in clinical documentation, coding compliance, and quality assurance. Find a role that fits from the openings below and apply directly.
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Showing 5 of 27+ Clinical Auditor jobs
Position Purpose:
The Compliance Auditor of Clinical Documentation Integrity at Sinai Chicago serves as a clinical consultant and subject-matter expert for engagements with the clinicians and Patient Access staff. The role focuses on provider engagement and education in clinical documentation integrity and ensuring RCM Cash Collections are met monthly through performing direct audits and correcting inefficiencies daily based on RCM benchmark KPI’s. Additional clinical revenue cycle projects may focus on Patient Access authorization denial management, coding optimization, CDI, HIM, organizational structure redesign, optimization, and centralization. Project efforts may require collaboration with key teams typically outside the revenue cycle, such as care management, utilization review, quality assurance, population health, and other key areas as needed and as directed by the Chief Revenue Officer to prevent uncompensated care. The role is responsible for the overall Patient Access Financial and Clinical transformational performance of the remote and onsite CDI Specialist and Patient Access Management Staff. Functions include, but are not limited to, performance and process improvement, data trending and analytics to drive decision-making, critical thinking to get to root cause, collaborating with departments across the organization to course correct, develop and monitor data driven key performance indicators to measure progress.
Reports to: Chief Revenue Officer/Director of CDI
Supervises: CDI Specialist, RCM Patient Access Managers
Key Job Activities:
- Develops strategies, oversees, and coordinates the execution of Revenue Cycle projects by collaborating with the leadership of key areas including, but not limited to Accounts Receivable, Financial Clearance, HIM/Coding/Revenue Integrity, Patient Access, CDI, and Clinical Operations.
- Responsible for the development and execution of CDI and PFS quality and process improvement plans that identify root causes with proactive and sound approaches.
- Identifies and communicates issues for escalation. Collaborates with Revenue Cycle partners to identify and systematically resolve patterns, workflows, and processes.
- Creates and consolidates structures with monitoring. Develops a methodology and committee structure to manage the performance of Revenue Cycle functions and govern operational changes that may be necessary to prevent future loss in key areas including but not limited to Accounts Receivable, Financial Clearance, HIM/Coding/Revenue Integrity, Patient Access, CDI, and Operations.
Education and Work Experience:
- Master’s degree preferred; LPN/RN/Medical Doctor preferred
- In lieu of a degree, a minimum of 12 years’ experience in Patient Accounts, Patient Access and CDI required within a healthcare setting will be considered.
- Experience facilitating the formal exchange and delivery of information within all levels in a provider's and executive leaders
- Exceptional subject matter knowledge of acute care and professional billing clinical documentation
- Willingness and ability to learn and expand clinical knowledge and PFS knowledge to ensure ongoing career and organizational efficiency stays current
Certifications/Licenses:
- Certified Clinical Documentation Specialist (CCDS) credential l - Required
- Coding certification: CIC, CCS, CMS, RHIA or RHIT - Required
- Billing and or Patient Accounts Certification (Epic Resolute, Billing Certificate) - Preferred
Location: SHS · SHS SHS PATIENT ACCOUNTS
Schedule: Full Time, Days, 8am-5:00pm
Position Purpose:
The Compliance Auditor of Clinical Documentation Integrity at Sinai Chicago serves as a clinical consultant and subject-matter expert for engagements with the clinicians and Patient Access staff. The role focuses on provider engagement and education in clinical documentation integrity and ensuring RCM Cash Collections are met monthly through performing direct audits and correcting inefficiencies daily based on RCM benchmark KPI’s. Additional clinical revenue cycle projects may focus on Patient Access authorization denial management, coding optimization, CDI, HIM, organizational structure redesign, optimization, and centralization. Project efforts may require collaboration with key teams typically outside the revenue cycle, such as care management, utilization review, quality assurance, population health, and other key areas as needed and as directed by the Chief Revenue Officer to prevent uncompensated care. The role is responsible for the overall Patient Access Financial and Clinical transformational performance of the remote and onsite CDI Specialist and Patient Access Management Staff. Functions include, but are not limited to, performance and process improvement, data trending and analytics to drive decision-making, critical thinking to get to root cause, collaborating with departments across the organization to course correct, develop and monitor data driven key performance indicators to measure progress.
Reports to: Chief Revenue Officer/Director of CDI
Supervises: CDI Specialist, RCM Patient Access Managers
Key Job Activities:
- Develops strategies, oversees, and coordinates the execution of Revenue Cycle projects by collaborating with the leadership of key areas including, but not limited to Accounts Receivable, Financial Clearance, HIM/Coding/Revenue Integrity, Patient Access, CDI, and Clinical Operations.
- Responsible for the development and execution of CDI and PFS quality and process improvement plans that identify root causes with proactive and sound approaches.
- Identifies and communicates issues for escalation. Collaborates with Revenue Cycle partners to identify and systematically resolve patterns, workflows, and processes.
- Creates and consolidates structures with monitoring. Develops a methodology and committee structure to manage the performance of Revenue Cycle functions and govern operational changes that may be necessary to prevent future loss in key areas including but not limited to Accounts Receivable, Financial Clearance, HIM/Coding/Revenue Integrity, Patient Access, CDI, and Operations.
Education and Work Experience:
- Master’s degree preferred; LPN/RN/Medical Doctor preferred
- In lieu of a degree, a minimum of 12 years’ experience in Patient Accounts, Patient Access and CDI required within a healthcare setting will be considered.
- Experience facilitating the formal exchange and delivery of information within all levels in a provider's and executive leaders
- Exceptional subject matter knowledge of acute care and professional billing clinical documentation
- Willingness and ability to learn and expand clinical knowledge and PFS knowledge to ensure ongoing career and organizational efficiency stays current
Certifications/Licenses:
- Certified Clinical Documentation Specialist (CCDS) credential l - Required
- Coding certification: CIC, CCS, CMS, RHIA or RHIT - Required
- Billing and or Patient Accounts Certification (Epic Resolute, Billing Certificate) - Preferred
Location: SHS · SHS SHS PATIENT ACCOUNTS
Schedule: Full Time, Days, 8am-5:00pm
See All 27 Clinical Auditor Jobs
Find roles that match your experience and apply in just a few clicks.
Find Clinical Auditor JobsClinical Auditor Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Technology & Software
- Education
- Manufacturing
- Medical Devices
What Employers Look For
The qualifications that appear most often in clinical auditor jobs.
- Knowledge of ICD-10-CM/PCS coding guidelines and clinical documentation standards
- Experience conducting medical record audits in an acute care or managed care setting
- Certification such as CPC, RHIA, RHIT, or CCS from a recognized credentialing body
- Proficiency with electronic health record systems such as Epic, Cerner, or Meditech
- Familiarity with CMS regulations, RAC audit processes, and payer-specific requirements
- Strong written communication skills for producing clear, actionable audit reports
Tips for Your Clinical Auditor Job Search
Quantify audit findings on your resume
Hiring managers want to see impact, not just duties. List the number of charts reviewed per cycle, discrepancy rates you identified, or compliance improvements you drove. Concrete outcomes set clinical auditor resumes apart from generic healthcare compliance applications.
List your coding credentials front and center
CPC, RHIA, RHIT, and CCS credentials are often minimum requirements, not nice-to-haves. Put them in your header or a dedicated certifications section so recruiters spot them before reading a single bullet point under your work history.
Filter openings by audit specialty you know
Clinical auditor roles split sharply between coding audits, quality measure audits, and clinical documentation improvement. Target openings that match your actual specialty first, since cross-training during interviews is a harder sell than demonstrated depth in one area.
Apply early to roles that fit
Migrate Mate lists clinical auditor openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for live chart review exercises
Many clinical auditor interviews include a timed chart review or mock audit scenario. Practice pulling out primary diagnoses, flagging documentation gaps, and citing the specific guideline that applies. Knowing your ICD-10 and CMS guidelines cold is the difference in these exercises.
Negotiate scope before accepting an offer
Ask how many records you are expected to audit per week, whether audits are prospective or retrospective, and what the appeals process looks like. These details affect workload and professional risk more than title or department name.
Clinical Auditor Jobs: Frequently Asked Questions
Which companies are hiring the most clinical auditors?
The companies hiring the most clinical auditors right now include Guidehealth, Elevance Health, and Cotiviti, with the largest share of openings in Texas, Illinois, and Pennsylvania, based on current listings on Migrate Mate as of November 2026. Health systems, managed care organizations, and revenue cycle consulting firms consistently post the highest volume of openings.
How many clinical auditor jobs are remote?
About 77% of clinical auditor openings are fully remote or hybrid as of November 2026, reflecting the role's dependence on electronic health records rather than physical chart rooms. Coding-focused and payer-side audit roles tend to offer the most remote flexibility, while facility-based quality and CDI audit positions more often require on-site presence.
How do you become a clinical auditor?
Start by building a foundation in health information management, medical coding, or clinical nursing, then earn a recognized credential such as a CPC, RHIA, or CCS. Gain hands-on experience reviewing medical records in a billing, coding, or compliance setting. From there, move into an entry-level audit role within a health system or payer, where you develop proficiency with audit methodologies, regulatory guidelines, and report writing before advancing to independent or senior audit work.
Can you get a clinical auditor job with little experience?
Yes, entry-level clinical auditor roles exist, particularly in coding audits and quality assurance support. Employers hiring candidates with limited experience typically expect a relevant credential like a CPC or RHIT in place of years on the job. Internships, externships through coding programs, or volunteer chart review work for community clinics can substitute for paid experience when you're building your first audit portfolio.
What does the clinical auditor interview process look like?
Most clinical auditor interviews include a phone or video screen focused on your coding background and audit experience, followed by a technical round where you may be asked to review a sample chart or walk through how you would handle a specific audit finding. A final round often involves meeting the compliance or HIM leadership team and discussing your familiarity with the organization's payer mix and documentation standards. Some employers also issue a written take-home audit exercise before extending an offer.
Where can I find and apply to clinical auditor jobs?
You can find and apply to clinical auditor jobs on Migrate Mate, which lists current openings from across the United States. Search the available roles, find the ones that match your specialty and experience level, and apply directly to each listing without leaving the platform.
See All 27 Clinical Auditor Jobs
Find roles that match your experience and apply in just a few clicks.
Find Clinical Auditor Jobs