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Medicare Rac Audit Jobs (NOW HIRING)

Gphealth

RAC Coordinator

North Platte, NE

The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...

Great Plains Health

RAC Coordinator

North Platte, NE · On-site

The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...

Trinity Health

Physician Audit-Educator (757)

Minot, ND · On-site

$193K - $242K/yr

Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...

TRINITY HEALTH

Physician Audit-Educator (757)

Minot, ND · Remote

$193K - $242K/yr

Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...

Trinity Health

Physician Audit-Educator (757)

Minot, ND · On-site

$172K - $216K/yr

Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...

Care-One

MDS Specialist RN

Whippany, NJ · On-site

$83K - $120K/yr

... RAC audits, and pre-payment reviews. IDT Collaboration & Care Meetings: Facilitate ... Thorough knowledge of CMS RAI guidelines, Medicare PPS/OBRA scheduling, and federal/state long-term ...

Albanymed

Revenue Integrity Compliance Auditor

Broadway, VA · On-site

$70K - $108K/yr

... RAC Audit requests, ensuring timely appeals, as appropriate, and reporting any identified risks to ... Keeps current with third party regulations with emphasis on Medicare billing, teaching physician ...

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Medicare Rac Audit information

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How much do medicare rac audit jobs pay per hour?

As of Jul 12, 2026, the average hourly pay for medicare rac audit in the United States is $20.80, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.32 per hour, depending on experience, location, and employer.

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

To excel in a Medicare RAC Audit role, you need a thorough understanding of Medicare regulations, auditing practices, and healthcare compliance, often supported by credentials such as a Certified Professional Medical Auditor (CPMA) or similar. Familiarity with audit management software, electronic health records (EHRs), and data analysis tools is commonly required. Attention to detail, analytical thinking, and clear written and verbal communication are important soft skills for producing accurate audit findings and interacting with providers. These skills ensure the identification of improper payments, maintenance of compliance, and support for healthcare organizations in navigating complex Medicare requirements.

What is a Medicare RAC Audit job?

A Medicare RAC (Recovery Audit Contractor) Audit job involves reviewing Medicare claims to identify and recover improper payments made to healthcare providers. RAC auditors analyze medical records, billing data, and coding practices to ensure compliance with Medicare guidelines. They work to detect overpayments and underpayments, helping to prevent fraud, waste, and abuse in the Medicare system. This role requires knowledge of medical coding, billing regulations, and healthcare compliance.

What are the typical daily responsibilities for someone working in Medicare RAC Audit?

Professionals in Medicare RAC Audit roles are primarily responsible for reviewing medical records and claims to identify and report improper payments or billing errors under Medicare guidelines. On a daily basis, you may analyze complex data, prepare detailed audit reports, communicate findings with healthcare providers, and collaborate with other compliance or billing team members to ensure corrections are implemented. The work often involves balancing independent research with collaborative meetings to resolve issues and maintain compliance. This position offers a fast-paced environment that requires strong organizational skills and provides significant exposure to Medicare policies and healthcare operations.

More about Medicare Rac Audit jobs
What cities are hiring for Medicare Rac Audit jobs? Cities with the most 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 Medicare Rac Audit jobs? States with the most job openings for Medicare Rac Audit jobs include:
What job categories do people searching Medicare Rac Audit jobs look for? The top searched job categories for Medicare Rac Audit jobs are:
Medicare Rac Audit jobs near you
Infographic showing various Medicare Rac Audit job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 6% Part Time, 1% Temporary, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $43,260 per year, or $20.8 per hour.

RAC Coordinator

Gphealth

North Platte, NE

Full-time

Re-posted 2 days ago

Job description

Great people. Great careers.
Join the team at Great Plains Health, where you can be a part of something, well, great.

Job Title:

RAC Coordinator

Cost Center:

Revenue Integrity

Job Description:

Position Summary:

The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management, monitoring, and direction of RAC Activities. This position provides financial data and analysis for internal and external reporting, ensures GPH is prepared for RAC audits, responds to audit requests, challenges questionable determinations, and files timely appeals.

Minimum qualifications:

Education Bachelor's degree or equivalent combination of education and work experience. Extensive knowledge of CMS rules and regulations. Knowledge of state and federal laws related to healthcare billing requirements. A minimum of three years of hospital coding, billing, or revenue integrity experience. Credentials A Certified Professional Coder with a Registered Health Information Technician (RHIT), or a Certified Coding Specialist (CCS), and/or Registered Health Information Administrator (RHIA) preferred. Clinical background preferred.

Essential Functions

1. Central point person for all government claim recovery activities.

2. Coordinates, initiates, monitors, and responds to all audit requests/demands.

3. Initiates and monitors the appeal processes in a timely manner.

4. Performs research, gathers financial data, and conducts focused audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make recommendations.

5. Coordinates with facility subject matter experts when necessary.

6.Uses data or maintains database to track information including but not limited to trends regarding Medicare and Medicaid billing practice both within and outside of the hospital.

7. Manages internal and external billing audit communications for all audit-related correspondence.

8. Continuously evaluates and improves processes in preparation for audit requests and in response to audit findings. Assists interdisciplinary teams in identifying and prioritizing areas of process improvement and develop/implement processes and tools to mitigate risk

Join us. Join great. Join the dynamic team at Great Plains Health and be a part of something truly exceptional. At Great Plains Health, we embody a culture defined by authenticity, integrity, and a genuine commitment to listening to both our patients and each other.
As a member of our team, you'll experience a supportive environment where collaboration is key, and every voice is valued. We work together seamlessly, leveraging our collective strengths to provide the highest quality care to our community.
Passion drives us forward, propelling us to constantly strive for excellence in everything we do. If you're seeking a rewarding career in healthcare surrounded by like-minded individuals who share your dedication and enthusiasm, Great Plains Health is the place for you. Come join us and be part of a team that's making a real difference every day.

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