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Internship Medicare Rac Audit Jobs (NOW HIRING)

RWJBarnabas Health

Quality Officer III

Oceanport, NJ · On-site

$83K - $117K/yr

Knowledge of Medicare and Medicaid billing and coding regulations. Preferred: * Bachelor's Degree ... May review ICD-10-CM/PCS coding associated with RAC audits and/or other additional medical records ...

RWJBarnabas Health

Quality Officer III

Oceanport, NJ · Remote

$83K - $117K/yr

Knowledge of Medicare and Medicaid billing and coding regulations. Preferred: * Bachelor's Degree ... May review ICD-10-CM/PCS coding associated with RAC audits and/or other additional medical records ...

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Internship Medicare Rac Audit information

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

As of Jun 9, 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:
Internship Medicare Rac Audit jobs near you
Corporate Compliance Clinical Auditor

Corporate Compliance Clinical Auditor

Majestic Care

Westfield, IN • On-site

Full-time

Posted 14 days ago

Majestic Care rating

5.1

Company rating: 5.1 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

191st of 228 rated social care providers

Job description

) Majestic Care Staffing is looking for Corporate Compliance Clinical Auditor to join our teams' mission and believe in our core values!
Our mission: Through the hearts of our Care Team Members, we provide excellent healthcare to those we serve.
Our Core Values...
L - Listening
E - Empathy
A - Accountability
D - Decisiveness
This is how we create a culture to LEAD with Love.
Through the hearts and minds of our care team members, we provide excellent healthcare to those we serve. With a vision of innovating healthcare by keeping those we serve at the heart of our mission, we provide tools, processes, support resources, data analytics, and insource strategies that drive results.
Position Overview:
Through the hearts and minds of our care team members, we provide excellent healthcare to those we serve. With a vision of innovating healthcare by keeping those we serve at the heart of our mission, we provide tools, processes, support resources, data analytics, and insource strategies that drive results.
The Corporate Compliance Clinical Audit Specialist is a key member of the Corporate Compliance & Ethics team. This position audits post-acute care facilities to assess adherence to the Office of Inspector General's (OIG) compliance program requirements for skilled nursing facilities, home health, and hospice. The role involves conducting facility reviews, identifying compliance gaps, and supporting the implementation of best practices aligned with industry standards and organizational policies.
Key Responsibilities:
Compliance Auditing and Oversight
  • Conduct retrospective, concurrent, and prospective audits of medical records across skilled nursing, home health, and hospice settings to assess compliance with billing, coding, documentation, and quality standards.
  • Identify discrepancies, errors, or potential non-compliance with federal/state regulations, payer requirements, and internal policies.
  • Lead and manage internal compliance audits, ensuring timely completion, accurate documentation, and development of corrective action plans.
  • Track audit outcomes and collaborate with stakeholders to implement monitoring strategies that support sustained compliance.

Audit Response and Denials Support
  • Support pre- and post-payment audit responses by coordinating documentation, tracking deadlines, and communicating with payers as directed.
  • Collaborate with clinical, billing, and operational teams to gather required documentation.
  • Assist in managing denial responses, including gathering supporting documentation and contributing to appeal strategies.
  • Coordinate responses to external audit requests and ensure timely, accurate submissions.

Training and Education
  • Deliver post-audit training sessions tailored to audit findings, focusing on documentation, coding, billing, and regulatory compliance.
  • Develop and present educational materials to care team members on compliance best practices and regulatory updates.

Investigations and Policy Development
  • Participate in investigations of potential compliance concerns and evaluate opportunities for proactive auditing.
  • Contribute to the review and enhancement of organizational policies and procedures to improve complianceand operational efficiency

Collaboration and Reporting
  • Prepare and present audit and investigation findings to leadership, including recommendations for corrective actions and process improvements.
  • Collaborate with departments such as Legal, Clinical, IT, Finance, MDS/RAI, Operations, and HR to address compliance issues and implement solutions.
  • Maintain accurate records of audit activities and ensure alignment with HIPAA and regulatory standards.

Regulatory Awareness and Support
  • Stay informed on changes in CMS, Managed Care, and other regulatory agency guidelines.
  • Provide support for compliance initiatives and special projects as needed across the organization

Education
  • Bachelor's degree required; equivalent work experience may be considered.

Licenses and Certifications
  • Active clinical license (RN, LPN, PT/OT/ST, etc)
  • Certifications (RAC-CT, RAC-CTA) preferred.
  • Certified in Healthcare Compliance (must be obtained within one year of hire).

Experience
  • 4 to 7 years of experience in Medicaid, Medicare, & Managed Care ADRs, Audits, & Denials.
  • Compliance/Healthcare post-acute care experience, including billing, coding, and documentation
  • Experience with Medicare A/B, Medicare Advantage, and Medicaid (multi-state) coverage criteria, Medicare billing rules, along with documentation standards.
  • Proficiency with electronic health records (PCC) and healthcare documentation systems

Knowledge, Skills, and Abilities
  • Strong understanding of healthcare regulations, compliance standards, and audit processes
  • Strong knowledge of MDS, PDPM, and documentation requirements.
  • Excellent analytical and problem-solving skills with attention to detail and accuracy
  • Effective communication and interpersonal skills across multidisciplinary teams
  • Ability to work independently and collaboratively in a fast-paced environment
  • Skilled in managing multiple priorities and meeting deadlines with minimal supervision
  • Strong organizational, planning, and project management abilities
  • Ability to build and maintain professional relationships across departments
  • High level of discretion and ability to handle sensitive and confidential information
  • Expert-level proficiency in Microsoft Office 365 Suite (Teams, SharePoint, Excel, etc.)
  • Demonstrated ability to remain composed and effective in high-pressure situations
  • Proactive, resourceful, and solutions-oriented with a focus on continuous improvement

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