... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
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... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
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... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
Reporting directly to the Director of Post-Pay Audit, this role is responsible for daily operations ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
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Reporting directly to the Director of Post-Pay Audit, this role is responsible for daily operations ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
Jacksonville, FL · On-site +1
$96K - $126K/yr
Must have experience with Medicare Cost Reports. This position is 100% remote working eastern time ... This is a direct hire FTE position and a fantastic opportunity to join a well-respected ...
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Jacksonville, FL · On-site +1
$96K - $126K/yr
Must have experience with Medicare Cost Reports. This position is 100% remote working eastern time ... This is a direct hire FTE position and a fantastic opportunity to join a well-respected ...
Position Overview The Senior Director of Compliance and Internal Audit leads the organization ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Position Overview The Senior Director of Compliance and Internal Audit leads the organization ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Fort Lauderdale, FL · On-site +1
Position Overview The Senior Director of Compliance and Internal Audit leads the organization ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Fort Lauderdale, FL · On-site +1
Position Overview The Senior Director of Compliance and Internal Audit leads the organization ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
... Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). • In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
... Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). • In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
$42 - $45/hr
MDS/PDPM RN To plan, organize, and direct the MDS/PDPM process in accordance with the federal and ... Monitor and document the management of the Medicare and Managed Care residents in collaboration ...
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$42 - $45/hr
MDS/PDPM RN To plan, organize, and direct the MDS/PDPM process in accordance with the federal and ... Monitor and document the management of the Medicare and Managed Care residents in collaboration ...
Pensacola, FL · On-site
$25.75 - $29.25/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
Pensacola, FL · On-site
$25.75 - $29.25/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
Pensacola, FL · On-site
$24 - $27.25/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
Pensacola, FL · On-site
$24 - $27.25/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
Pensacola, FL · On-site
$25.75 - $29.25/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
Pensacola, FL · On-site
$25.75 - $29.25/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
Pensacola, FL · On-site
$24 - $27.25/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
Pensacola, FL · On-site
$24 - $27.25/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
Miami, FL · On-site
$77K - $95K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Miami, FL · On-site
$77K - $95K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Lake Mary, FL · On-site
$70K - $87K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Lake Mary, FL · On-site
$70K - $87K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Tampa, FL · On-site
$76K - $94K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Tampa, FL · On-site
$76K - $94K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Lake Mary, FL · On-site
$70K - $87K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Lake Mary, FL · On-site
$70K - $87K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
$77K - $95K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
$77K - $95K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Tampa, FL · On-site
$76K - $94K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Tampa, FL · On-site
$76K - $94K/yr
We administer government contracts for Medicare and partner with the Centers for Medicare and ... Must be able to perform all duties of lower-level positions as directed by management.
Pensacola, FL · On-site
$60 - $80/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
Pensacola, FL · On-site
$60 - $80/hr
This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...
| Aspect | Director Medicare RAC Audit | Medicare RAC Auditor |
|---|---|---|
| Certifications | CMS certifications, auditing credentials | CMS certifications, auditing credentials |
| Work Environment | Management, strategy, oversight | Field audits, data analysis |
| Employer & Industry Usage | Healthcare organizations, government agencies | Medicare 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.
The most popular types of Medicare Rac Audit jobs in Florida are:
For Director Medicare Rac Audit jobs in Florida, the most frequently searched job titles are:
The top searched job categories for Director Medicare Rac Audit jobs in Florida are:
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Full-time
Re-posted 26 days ago
Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.
Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across U.S. and offshore operations.
Oversee audit processes related to government payers and regulatory programs, and analyze audit outcomes to report performance and risks to senior leadership.
Job Summary:
We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This leader will be responsible for overseeing the execution of comprehensive post-payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.), ensuring compliance, accuracy, and maximum revenue recovery for healthcare provider clients.
The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale.
Key Responsibilities:
Qualifications:
Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.
HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.
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Health care and social assistance
51 - 200 Employees
Cooper City, FL, US
2002