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Medicare Administrative Contractor Jobs (NOW HIRING)

... Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement ...

Maintain compliance with CMS regulations and Medicare Administrative Contractor (MAC) requirements. Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ...

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Medicare Administrative Contractor information

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How much do medicare administrative contractor jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for medicare administrative contractor in the United States is $20.71, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $22.36 per hour, depending on experience, location, and employer.

What is a Medicare Administrative Contractor job?

A Medicare Administrative Contractor (MAC) is responsible for processing Medicare claims, handling reimbursements, and ensuring compliance with federal regulations. MACs work with healthcare providers to review claims, prevent fraud, and deliver customer support related to Medicare billing. Their role helps streamline Medicare operations and ensures that beneficiaries receive accurate and timely benefits.

What are the key skills and qualifications needed to thrive in the Medicare Administrative Contractor position, and why are they important?

Excelling as a Medicare Administrative Contractor requires a strong background in healthcare administration, regulatory compliance, and government contracting, usually supported by a bachelor's degree in a related field. Familiarity with Medicare payment systems, claims processing software, and federal guidelines such as CMS policies is essential. Strong analytical thinking, attention to detail, and effective communication skills are invaluable for interpreting complex regulations and interacting with healthcare providers. These abilities are crucial to ensure accurate claims administration, regulatory adherence, and positive customer interactions within the Medicare system.

What are some common challenges faced by Medicare Administrative Contractors in their daily roles?

Medicare Administrative Contractors often face the challenge of keeping up-to-date with frequently changing Medicare policies and regulations, which requires continuous learning and adaptability. They are responsible for processing a high volume of claims accurately and efficiently while ensuring strict compliance with government guidelines. Managing communications with healthcare providers to resolve complex inquiries or disputes can also be demanding. Successfully overcoming these challenges requires strong organizational skills and attention to detail, but it also provides valuable experience in healthcare administration and government operations.

More about Medicare Administrative Contractor jobs
What cities are hiring for Medicare Administrative Contractor jobs? Cities with the most Medicare Administrative Contractor job openings:
What are the most commonly searched types of Medicare Administrative Contractor jobs? The most popular types of Medicare Administrative Contractor jobs are:
What states have the most Medicare Administrative Contractor jobs? States with the most job openings for Medicare Administrative Contractor jobs include:
Infographic showing various Medicare Administrative Contractor job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 1% Temporary, and 2% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $43,075 per year, or $20.7 per hour.

Certified Coding Specialist/Non-Certified Coding Specialist - HIM Coding

Memorial Health System of Southwest Oklahoma

Lawton, OK โ€ข Remote

Other

Posted 2 days ago


Job description

CERTIFIED CODING SPECIALIST

DEFINITION:

The Certified Coding Specialist is responsible for abstraction and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 Coding Guidelines.

REGULATORY REQUIREMENTS (IF APPLICABLE):

Registered Health Information Administrator (RHIA) or;

Registered Health Information Technician (RHIT) or;

Certified Coding Specialist (CCS) through AHIMA.

PREFERRED QUALIFICATIONS:

RHIA, RHIT or CCS with at least one (1) year of coding experience or equivalent clinical/educational experience is preferred

Working knowledge of ICD-9-CM and ICD-10-CM coding principles and guidelines or willingness to obtain.

Working knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain.

Demonstrates critical thinking skills, communication verbal and written, mathematical and analytical skills and have a professional presentation, ability to work independently, set priorities and manage work accurately and timely.

Basic Medical Terminology knowledge.

Basic computer skills and proficient in Microsoft Office products (Excel, Word, etc)

Must be able to maintain confidential information.

Graduate of an AHIMA accredited Health Information Management Program or completion of Basic ICD-10-CM coding vocational program.

NON-CERTIFIED CODING SPECIALIST

DEFINITION:

The Non-Certified Coding Specialist is responsible for abstraction and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Non-Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 Coding Guidelines.


PREFERRED QUALIFICATIONS:

Completion of Basic ICD-10-CM coding vocational program with at least one (1) year of coding experience preferred or equivalent clinical/educational experience is preferred or at least 7 years of on the job coding experience.

Completion of High School or equivalent

Working knowledge of ICD-10-CM coding principles and guidelines or willingness to obtain. Working knowledge of federal, state and payer-specific regulations and policies pertaining documentation, coding and reimbursement or willingness to obtain.

Demonstrates critical thinking skills, communication verbal and written, mathematical and analytical skills and have a professional presentation, ability to work independently, set priorities and manage work accurately and timely.

Basic Medical Terminology knowledge

Basic computer skills and proficient in Microsoft Office products (Excel, Word, etc)

Must be able to maintain confidential information.