Claim auditor vs senior auditor

The differences between claim auditors and senior auditors can be seen in a few details. Each job has different responsibilities and duties. Additionally, a senior auditor has an average salary of $74,382, which is higher than the $46,802 average annual salary of a claim auditor.

The top three skills for a claim auditor include medical terminology, medicaid and patients. The most important skills for a senior auditor are CPA, internal audit, and audit reports.

Claim auditor vs senior auditor overview

	Claim Auditor	Senior Auditor
Yearly salary	$46,802	$74,382
Hourly rate	$22.50	$35.76
Growth rate	6%	6%
Number of jobs	22,068	23,025
Job satisfaction	-	5
Most common degree	Bachelor's Degree, 45%	Bachelor's Degree, 79%
Average age	44	44
Years of experience	-	-

What does a claim auditor do?

A claims auditor is primarily in charge of processing and auditing claims in companies and other institutions, ensuring accuracy and smooth workflow. Their responsibilities include coordinating with staff to gather the necessary data, liaising with clients to identify their needs, assessing the eligibility and validity of claims, verifying payments, and maintaining records of all transactions. Furthermore, as a claims auditor, it is essential to ensure that all claims and payments are carried out in adherence to the company's policies and regulations.

What does a senior auditor do?

Senior auditors have a vital role to play in the financial auditing process. They hold more responsibilities compared to staff auditors and report to an auditing manager directly. They have varied duties and responsibilities, including assigning tasks to staff auditors, overseeing compliant and precise auditing processes, and performing control and risk assessments. Senior auditors also are responsible for presenting audit findings, coordinating periodical audits, and submitting reports to the manager. If you are looking to apply for this role, you need to have a bachelor's degree in accounting or finance, strong analytical and mathematical skills, and proficiency in MS Office.

Claim auditor vs senior auditor salary

Claim auditors and senior auditors have different pay scales, as shown below.

	Claim Auditor	Senior Auditor
Average salary	$46,802	$74,382
Salary range	Between $34,000 And $64,000	Between $54,000 And $101,000
Highest paying City	San Francisco, CA	Washington, DC
Highest paying state	Washington	New York
Best paying company	Berkshire Hathaway	Microsoft
Best paying industry	Insurance	Technology

Differences between claim auditor and senior auditor education

There are a few differences between a claim auditor and a senior auditor in terms of educational background:

	Claim Auditor	Senior Auditor
Most common degree	Bachelor's Degree, 45%	Bachelor's Degree, 79%
Most common major	Business	Accounting
Most common college	University of Pennsylvania	University of Pennsylvania

Claim auditor vs senior auditor demographics

Here are the differences between claim auditors' and senior auditors' demographics:

	Claim Auditor	Senior Auditor
Average age	44	44
Gender ratio	Male, 23.9% Female, 76.1%	Male, 62.7% Female, 37.3%
Race ratio	Black or African American, 8.6% Unknown, 4.0% Hispanic or Latino, 10.9% Asian, 12.2% White, 63.9% American Indian and Alaska Native, 0.5%	Black or African American, 8.3% Unknown, 3.9% Hispanic or Latino, 10.6% Asian, 14.2% White, 62.4% American Indian and Alaska Native, 0.5%
LGBT Percentage	7%	7%

Differences between claim auditor and senior auditor duties and responsibilities

Claim auditor example responsibilities.

Work with department analyst to create measurement tools and methods for communicating results and managing QA analysis in compiling/reporting results.
Bill and prepare claims appeals for Medicare, Medicaid, and private payers.
Review medical records and charges of hospital, ambulatory surgery and physician bills to verify CPT, ICD-9 and HCPCS codes.
Research and determine accuracy of ICD-9 and CPT codes on CMS 1500 and UB 92 claims forms on a daily basis.
Evaluate DRG grouping and pricing information.
Audit all claims types for a Medicare HMO plan.

Show more

Senior auditor example responsibilities.

Conduct routine retrospective and prospective audits for ICD-10 CM/PCS, CPT and HCPCS for outpatient/inpatient facility and manage auditors.
Lead internal control reviews for an internationally own agriculture manufacturing company focuse on the inventory and payroll areas.
Create technology specific audit programs for SOX and operational audits ensuring that risks are clearly define and adequately test.
Enforce regulatory requirements and uphold Sarbanes-Oxley financial disclosure procedures to ensure accurate representation of internal and on-site audit assignments.
Guide clients with the compliance of the accounting standards (IFRS).
Prepare, and conduct all GxP (GMP, GLP, and GCP) in house and CMO training.

Show more

Claim auditor vs senior auditor skills

Common claim auditor skills

Medical Terminology, 9%
Medicaid, 8%
Patients, 6%
HCPCS, 5%
CMS, 5%
Audit Findings, 5%

Common senior auditor skills

CPA, 13%
Internal Audit, 7%
Audit Reports, 6%
Audit Procedures, 5%
Audit Engagements, 5%
Risk Assessments, 4%

Claim Auditor vs. similar jobs

Claim Auditor related careers

Claim Auditor related jobs

What similar roles do

Updated January 8, 2025

Browse business and financial jobs

A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z