ZipRecruiter

Log In

1

Medicare Rac Audit Jobs in California (NOW HIRING)

Prime Healthcare Management Inc

RAC Manager

Ontario, CA

$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 ...

Prime Healthcare Management Inc

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 ...

Prime Healthcare

RAC Manager

Ontario, CA

$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 ...

AHMC Healthcare

Denials Manager RN

San Gabriel, CA

... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...

AHMC Healthcare

Denials Manager RN

San Gabriel, CA · On-site

$53.10 - $58.39/hr

... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...

AHMC Healthcare

Denials Manager RN

San Gabriel, CA · On-site

$53.10/hr

... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...

Hanger, Inc.

Clinical Resident

Castro Valley, CA · On-site

... education, RAC audit resources, and back office support at one of our more than 700 clinics ... Adhere to all safety regulations; compliance with Medicare, HIPAA and other governmental ...

Hanger, Inc.

Clinical Resident

Castro Valley, CA

... education, RAC audit resources, and back office support at one of our more than 700 clinics ... Adhere to all safety regulations; compliance with Medicare, HIPAA and other governmental ...

Rockwell Care

AR Area Manager/AR Consultant

Ontario, CA · On-site

$130K - $140K/yr

Receives, Tracks, review, submit, and overall gatekeeper of all Medicare audit notifications ie Probe, RAC, CERTS, etc * Communicates and provide Corporate team with materials required for yearly ...

Astrana Health, Inc.

$33 - $38/hr

... audits, including RAC, Medicare Advantage, Medicaid, and commercial payer reviews * Provide education and mentoring to coding staff and other stakeholders * Monitor changes in coding guidelines ...

Eisenhower

Denials Analyst

Rancho Mirage, CA

$21.75 - $33.04/hr

Responds to audit requests (including RAC) from payors and maintains a Library of Payer reference ... Medicare/Medi-Cal reimbursement methodologiesPreferred: Patient accounting experience in a high ...

next page

Showing results 1-20

All JobsMedicare Rac Audit JobsMedicare Rac Audit Jobs in California

Medicare Rac Audit information

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.

What are the most commonly searched types of Medicare Rac Audit jobs in California? The most popular types of Medicare Rac Audit jobs in California are:
What are popular job titles related to Medicare Rac Audit jobs in California? For Medicare Rac Audit jobs in California, the most frequently searched job titles are:
What job categories do people searching Medicare Rac Audit jobs in California look for? The top searched job categories for Medicare Rac Audit jobs in California are:
Medicare Rac Audit jobs near you
Infographic showing various Medicare Rac Audit job openings in California as of July 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 86% In-person, and 14% Remote job distribution.

Government Audit Recovery Specialist

Integrated Resources, Inc

Costa Mesa, CA

$30/hr

Contractor

Re-posted 28 days ago

Job description

Job Title: Government Audit Recovery Specialist
Job Location: Costa Mesa, CA, 92626
Job Duration: 03 Months Contract (possible extension)
Pat Rate: $30.00/hr on w2
Position Summary:
  • The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance.
  • This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed.
  • This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance.
  • As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, MediCal regulatory auditing body for pre and post payment audits.
  • The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed.
  • This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance.
  • As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, MediCal regulatory auditing body for pre and post payment audits.

Skills:
Required Skills & Experience:
  • 3 years of Medicare billing experience in billing, follow up, in an acute care setting.
  • Experience working on complex projects.
  • 13 years of experience in healthcare acute setting regulatory audits and appeals.
  • Experience with and understanding of CMS billing, payment and reimbursement methodologies.
  • Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations.
  • Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred Skills & Experience:
  • 5 years of experience or more in an acute setting.
  • 3 years of experience in healthcare acute setting regulatory audits and appeals.
  • Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, MediCal and other regulatory audits.
  • 5 years of experience in Medicare billing, follow up, appeals.
  • Knowledge of utilization management process, coding, medical necessity criteria.
  • 3 years of Medicare billing experience in billing, follow up, in an acute care setting
  • Experience working on complex projects
  • 13 years of experience in healthcare acute setting regulatory audits and appeals
  • Experience with and understanding of CMS billing, payment and reimbursement methodologies
  • Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations
  • Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
#sczr2
Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

View All Integrated Resources Jobs