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Director Medicare Rac Audit Jobs (NOW HIRING)

Gphealth

RAC Coordinator

North Platte, NE · On-site

The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...

Great Plains Health

RAC Coordinator

North Platte, NE · On-site

The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...

Insurance Lounge LLC

Medicare Director

Grants Pass, OR · On-site

Compliance audit results (internal and external) * SOA and documentation accuracy rates * Carrier ... Medicare insurance experience with direct responsibility for selling, servicing, and managing ...

Insurance Lounge, LLC

Medicare Director

Grants Pass, OR · On-site

The Medicare Director will play a critical role in seasonal success, including AEP and OEP ... Compliance audit results (internal and external) * SOA and documentation accuracy rates * Carrier ...

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All JobsDirector Medicare Rac Audit Jobs

Director Medicare Rac Audit information

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$102K

$135.9K

$143.5K

How much do director medicare rac audit jobs pay per year?

As of Jul 3, 2026, the average yearly pay for director medicare rac audit in the United States is $135,863.00, according to ZipRecruiter salary data. Most workers in this role earn between $137,500.00 and $141,000.00 per year, depending on experience, location, and employer.

What is the difference between Director Medicare Rac Audit vs Medicare RAC Auditor?

AspectDirector Medicare RAC AuditMedicare RAC Auditor
CertificationsCMS certifications, auditing credentialsCMS certifications, auditing credentials
Work EnvironmentManagement, strategy, oversightField audits, data analysis
Employer & Industry UsageHealthcare organizations, government agenciesMedicare contractors, healthcare providers

The main difference is that the Director Medicare RAC Audit oversees and manages RAC audit programs, focusing on strategy and compliance, while the Medicare RAC Auditor conducts the actual audits and reviews claims. The director has a leadership role, whereas the auditor performs detailed, hands-on audit work.

More about Director Medicare Rac Audit jobs
What cities are hiring for Director Medicare Rac Audit jobs? Cities with the most Director Medicare Rac Audit job openings:
What are the most commonly searched types of Medicare Rac Audit jobs? The most popular types of Medicare Rac Audit jobs are:
What states have the most Director Medicare Rac Audit jobs? States with the most job openings for Director Medicare Rac Audit jobs include:
What job categories do people searching Director Medicare Rac Audit jobs look for? The top searched job categories for Director Medicare Rac Audit jobs are:
Director Medicare Rac Audit jobs near you
Infographic showing various Director Medicare Rac Audit job openings in the United States as of June 2026, with employment types broken down into 97% Full Time, 2% Part Time, and 1% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $135,863 per year, or $65.3 per hour.

RAC Coordinator

Gphealth

North Platte, NE • On-site

Full-time

Posted 23 days ago

Job description

Great people. Great careers.
Join the team at Great Plains Health, where you can be a part of something, well, great.

Job Title:

RAC Coordinator

Cost Center:

Revenue Integrity

Job Description:

Position Summary:

The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management, monitoring, and direction of RAC Activities. This position provides financial data and analysis for internal and external reporting, ensures GPH is prepared for RAC audits, responds to audit requests, challenges questionable determinations, and files timely appeals.

Minimum qualifications:

Education Bachelor's degree or equivalent combination of education and work experience. Extensive knowledge of CMS rules and regulations. Knowledge of state and federal laws related to healthcare billing requirements. A minimum of three years of hospital coding, billing, or revenue integrity experience. Credentials A Certified Professional Coder with a Registered Health Information Technician (RHIT), or a Certified Coding Specialist (CCS), and/or Registered Health Information Administrator (RHIA) preferred. Clinical background preferred.

Essential Functions

1. Central point person for all government claim recovery activities.

2. Coordinates, initiates, monitors, and responds to all audit requests/demands.

3. Initiates and monitors the appeal processes in a timely manner.

4. Performs research, gathers financial data, and conducts focused audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make recommendations.

5. Coordinates with facility subject matter experts when necessary.

6.Uses data or maintains database to track information including but not limited to trends regarding Medicare and Medicaid billing practice both within and outside of the hospital.

7. Manages internal and external billing audit communications for all audit-related correspondence.

8. Continuously evaluates and improves processes in preparation for audit requests and in response to audit findings. Assists interdisciplinary teams in identifying and prioritizing areas of process improvement and develop/implement processes and tools to mitigate risk

Join us. Join great. Join the dynamic team at Great Plains Health and be a part of something truly exceptional. At Great Plains Health, we embody a culture defined by authenticity, integrity, and a genuine commitment to listening to both our patients and each other.
As a member of our team, you'll experience a supportive environment where collaboration is key, and every voice is valued. We work together seamlessly, leveraging our collective strengths to provide the highest quality care to our community.
Passion drives us forward, propelling us to constantly strive for excellence in everything we do. If you're seeking a rewarding career in healthcare surrounded by like-minded individuals who share your dedication and enthusiasm, Great Plains Health is the place for you. Come join us and be part of a team that's making a real difference every day.

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