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Director Medicare Rac Audit Jobs (NOW HIRING)

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 ...

Gphealth

RAC Specialist

North Platte, NE · On-site

$18.75 - $25.75/hr

The RAC Specialist serves as the organizational subject matter specialist for Recovery Audit ... Medicare and Medicaid billing requirements, payer audit processes, healthcare documentation ...

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All JobsMedicare Rac Audit 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 28, 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 July 2026, with employment types broken down into 56% Full Time, and 44% Part Time. Highlights an 100% In-person job distribution, with an average salary of $135,863 per year, or $65.3 per hour.
Project Mgr. RAC

Project Mgr. RAC

University Medical Center of El Paso

El Paso, TX • On-site

Full-time

Posted 13 days ago

University Medical Center Of El Paso rating

6.7

Company rating: 6.7 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

639th of 1,051 rated hospitals

Job description


The RAC Project Manager performs activities related to the coordination and management of the Medicare RAC Program involving audit defense and claims appeals. Works closely with Case Management staff for determination of medical necessity status. Monitors processes and implements procedures as needed to ensure compliance with federal guidelines involving reimbursement for services performed. Acts as a resource to provide board level reports of program status related to job related functions.
Required Skills:
  1. Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements.
  2. Knowledge base in medical terminology, healthcare coding processes including CPT4, HCPCS, ICD-9
  3. Knowledge of Medicaid and Medicare, HIPAA, TJC regulations, and healthcare laws and regulations.
  4. Knowledge and ability to interpret government regulations, medical documentation,
  5. Knowledge and ability to identify fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines.
  6. Knowledge and ability to apply strong analytical skills, data management and operational process, and computer skills involved in the preparation of reports and presentations.
  7. Knowledge of complexities of an Academic Medical Center. Involves others appropriately in consultations and decisions.
  8. Ability to operate successfully in a constantly changing, fast-paced environment.
  9. Ability to apply clinical expertise to review and audit medical records.
  10. Ability to apply excellent interpersonal communication and negotiation skills.
  11. Ability to apply written and oral communication skills.
  12. Ability to work with people of all social, economic, and cultural backgrounds. Exemplifies an approachable style that elicits open communication with Associates, Management staff, and Physicians. Strong interpersonal skills demonstrating the ability to listen effectively.
  13. Ability to be flexible, open-minded and adaptable to change.
  14. Ability to apply strong organizational and time management skills to multi-task in a fast paced environment and prioritize tasks and role components.
  15. Ability to and coordinate with different departments and entities simultaneously in order to carry out auditing function to meet deadlines and goals.
  16. Ability to work independently and exercise sound judgment in interactions with members of the workforce, contracted vendors, and patients/families. Ability to maintain a high degree of credibility, independence, integrity, confidentiality and trust required.
  17. Ability to develop partnerships, teamwork and good working relationships and maintain an open, participative communication style.
  18. Bilingual English/Spanish preferred, culturally sensitive.

Required Experience:
Work Experience:
Three years of experience in healthcare project or program management required. Experience in case management, coding, auditing, healthcare fraud investigation, and clinical documentation preferred.
License/Registration/Certification
RN License preferred;
Certified Case Manager (CCM), Certified Professional Medical Auditor (CPMA), or Certified Medical Audit Specialist (CMAS) obtained within two years of accepting position.
Education/Training
Bachelors degree required; preferably in Business, Medical Records Technology, Health Services Administration, Nursing or related field. Masters degree preferred.

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