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Medicare Rac Audit Jobs in Florida (NOW HIRING)

Hanger, Inc.

Clinical Resident

Fort Lauderdale, FL

... 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

Fort Lauderdale, FL · 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 ...

Westside Oaks

MDS Coordinator (RN)

Jacksonville, FL · On-site

$32 - $38.50/hr

Monitor and document the management of the Medicare and Managed Care residents in collaboration ... RAC-CT or RNAC preferred. COVID-19 vaccination is a requirement of employment. Accommodation ...

Phsorg

$54K - $83K/yr

Assists in the creation of the CDQA Annual Audit Work-plan by utilizing the OIG work plan, Medicare and Medicaid regulations, RAC and other audit agency focuses, as well as internal and external risk ...

Indian Beach Nursing and Rehab Center

MDS Nurse

Sarasota, FL · On-site

$34.50 - $45/hr

Conduct regular audits to monitor compliance and identify areas for improvement * Serve as a ... RAC-CT) preferred - In-depth knowledge of process * Strong understanding of Medicare, Medicaid, and ...

Jupiter Medical Center

HIM Specialist Part Time

Jupiter, FL · On-site

$97K - $97K/yr

... Medicare & Medicaid Services (CMS). Education * Associate or bachelor's degree, 2 plus years ... Knowledge of ADRs, post payment audits and appeals processes, requirements and guidelines

All JobsMedicare Rac Audit JobsMedicare Rac Audit Jobs in Florida

Medicare Rac Audit information

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$9

$15

$22

How much do medicare rac audit jobs pay per hour?

As of Jun 13, 2026, the average hourly pay for medicare rac audit in Florida is $15.54, according to ZipRecruiter salary data. Most workers in this role earn between $12.93 and $17.40 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 type of auditor gets paid the most?

In the field of Medicare RAC auditing, senior or lead auditors typically earn the highest salaries due to their experience and responsibility levels. These roles often require advanced knowledge of healthcare regulations, strong analytical skills, and sometimes certifications like RAC-CRA, with compensation reflecting their expertise and leadership duties.

How do I become a Medicare auditor?

To become a Medicare auditor, candidates typically need a background in healthcare, accounting, or auditing, along with knowledge of Medicare policies and regulations. Relevant certifications such as Certified Healthcare Auditor (CHA) or Certified Public Accountant (CPA) can enhance prospects. Gaining experience in healthcare compliance, auditing procedures, and working with government programs is also beneficial.

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.

Is an auditor a high paying job?

Auditors can earn competitive salaries, especially with experience and certifications such as CPA or CIA. The pay varies by industry, location, and level of responsibility, but auditing roles generally offer solid compensation compared to many entry-level positions.

What is a Medicare RAC audit?

A Medicare RAC (Recovery Audit Contractor) audit is a review conducted by contracted organizations to identify and correct improper Medicare claims, ensuring compliance with billing rules. For jobs in this field, knowledge of Medicare policies, auditing procedures, and claims review is essential.
What are the most commonly searched types of Medicare Rac Audit jobs in Florida? The most popular types of Medicare Rac Audit jobs in Florida are:
What are popular job titles related to Medicare Rac Audit jobs in Florida? For Medicare Rac Audit jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Medicare Rac Audit jobs in Florida look for? The top searched job categories for Medicare Rac Audit jobs in Florida are:
Medicare Rac Audit jobs near you
Infographic showing various Medicare Rac Audit job openings in Florida as of June 2026, with employment types broken down into 5% As Needed, and 95% Full Time. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $32,328 per year, or $15.5 per hour.
Director, Post Pay Audit

Director, Post Pay Audit

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Posted 4 hours ago

Job description

Job Summary:

We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This leader will be responsible for overseeing the execution of comprehensive post-payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.), ensuring compliance, accuracy, and maximum revenue recovery for healthcare provider clients.

The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale.

Key Responsibilities:

  • Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.
  • Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across both U.S.-based and Philippines-based operations.
  • Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC, Medicaid Integrity Program, etc.).
  • Establish and refine audit workflows, KPIs, and escalation protocols to optimize audit yield and recovery timelines.
  • Collaborate with compliance, legal, and analytics teams to identify audit opportunities and mitigate risk.
  • Serve as the subject matter expert for payer audit guidelines, CMS regulations, and state-specific requirements.
  • Build strong relationships with internal stakeholders and clients to align audit strategies with broader revenue recovery goals.
  • Develop and execute training programs and professional development plans for onshore and offshore audit staff.
  • Ensure adherence to internal quality standards, HIPAA regulations, and client-specific SLAs.
  • Analyze audit outcomes and present regular performance and risk reports to senior leadership.

Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s or MBA preferred
  • Minimum of 7–10 years of experience in post-payment auditing, healthcare reimbursement, or revenue recovery
  • Proven experience managing global teams, including operations based in the Philippines
  • Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
  • Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
  • Demonstrated ability to lead process improvement initiatives in large-scale audit operations
  • High proficiency with audit and recovery systems, reporting tools, and workflow platforms
  • Strong communication, leadership, and analytical skills
  • Certification in auditing, billing, or compliance (e.g., CPMA, CPC, CHC) is a plus

Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.

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