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Internship Medicare Rac Audit Jobs (NOW HIRING)

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 ...

Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...

RAC Manager

Ontario, CA · On-site

$71K - $94K/yr

Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...

Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...

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Internship Medicare Rac Audit information

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$2.1K

$6.4K

$7.8K

How much do internship medicare rac audit jobs pay per month?

As of Aug 1, 2026, the average monthly pay for internship medicare rac audit in the United States is $6,439.50, according to ZipRecruiter salary data. Most workers in this role earn between $4,416.67 and $7,666.67 per month, depending on experience, location, and employer.

What is the difference between Internship Medicare Rac Audit vs Internship Medicare Billing Specialist?

AspectInternship Medicare Rac AuditInternship Medicare Billing Specialist
CertificationsKnowledge of RAC audit processes, basic healthcare complianceUnderstanding of billing codes, insurance procedures
Work EnvironmentHealthcare compliance departments, government agenciesMedical offices, billing departments
Industry UsageFocuses on audit review and reimbursement recoveryFocuses on billing, claims submission, and coding

Internship Medicare Rac Audit roles primarily involve reviewing healthcare claims for compliance and reimbursement issues, while Internship Medicare Billing Specialist positions focus on processing claims and coding. Both roles require knowledge of healthcare regulations but differ in their core responsibilities and work settings.

What cities are hiring for Internship Medicare Rac Audit jobs? Cities with the most Internship 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 Internship Medicare Rac Audit jobs? States with the most job openings for Internship Medicare Rac Audit jobs include:

Full-time

Posted 18 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

635th of 1,054 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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