Morristown, 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 ...
Morristown, 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 ...
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 ...
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 ...
Morristown, 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 ...
Morristown, 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 ...
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 ...
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 ...
Morristown, 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 ...
Morristown, 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 ...
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 ...
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 ...
Morristown, 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 ...
Morristown, 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 ...
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 ...
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 ...
Brooklyn, NY · On-site
$39.25 - $47.50/hr
Manage ADR responses, audits, and appeals * Track and present Quality Measures * Run Medicare Part ... RAC-CT Certification * Prior leadership experience Benefits * Referral bonuses * Free meals during ...
Brooklyn, NY · On-site
$39.25 - $47.50/hr
Manage ADR responses, audits, and appeals * Track and present Quality Measures * Run Medicare Part ... RAC-CT Certification * Prior leadership experience Benefits * Referral bonuses * Free meals during ...
New York, NY · On-site
$140K - $160K/yr
Manage ADR responses, audits, and appeals * Track and present Quality Measures * Run Medicare Part ... RAC-CT Certification * Prior leadership experience Benefits * Referral bonuses * Free meals during ...
Quick apply
New York, NY · On-site
$140K - $160K/yr
Manage ADR responses, audits, and appeals * Track and present Quality Measures * Run Medicare Part ... RAC-CT Certification * Prior leadership experience Benefits * Referral bonuses * Free meals during ...
Bronx, NY · On-site
$65K - $80K/yr
... Support payer audits, RAC audits, and internal investigations by preparing documentation ... services, Medicare/Medicaid reimbursement, and value based care models. Qualifications ...
Bronx, NY · On-site
$65K - $80K/yr
... Support payer audits, RAC audits, and internal investigations by preparing documentation ... services, Medicare/Medicaid reimbursement, and value based care models. Qualifications ...
Support payer audits, RAC audits, and internal investigations by preparing documentation ... Familiarity with Medicare Part A/B billing, MDS/RUG classifications, and Medicaid reimbursement ...
Support payer audits, RAC audits, and internal investigations by preparing documentation ... Familiarity with Medicare Part A/B billing, MDS/RUG classifications, and Medicaid reimbursement ...
Bronx, NY · On-site
$65K - $80K/yr
... Support payer audits, RAC audits, and internal investigations by preparing documentation ... services, Medicare/Medicaid reimbursement, and value based care models. Qualifications • ...
Bronx, NY · On-site
$65K - $80K/yr
... Support payer audits, RAC audits, and internal investigations by preparing documentation ... services, Medicare/Medicaid reimbursement, and value based care models. Qualifications • ...
Short Hills, NJ · On-site
... Medicare regulations, and payer policies * Support compliance with medical necessity criteria (InterQual, MCG, or equivalent) * Assist with audit preparedness and response, including RAC, MAC, and ...
Short Hills, NJ · On-site
... Medicare regulations, and payer policies * Support compliance with medical necessity criteria (InterQual, MCG, or equivalent) * Assist with audit preparedness and response, including RAC, MAC, and ...
Short Hills, NJ · On-site
... Medicare regulations, and payer policies * Support compliance with medical necessity criteria (InterQual, MCG, or equivalent) * Assist with audit preparedness and response, including RAC, MAC, and ...
Short Hills, NJ · On-site
... Medicare regulations, and payer policies * Support compliance with medical necessity criteria (InterQual, MCG, or equivalent) * Assist with audit preparedness and response, including RAC, MAC, and ...
Short Hills, NJ · Remote
... Medicare regulations, and payer policies * Support compliance with medical necessity criteria (InterQual, MCG, or equivalent) * Assist with audit preparedness and response, including RAC, MAC, and ...
Quick apply
Short Hills, NJ · Remote
... Medicare regulations, and payer policies * Support compliance with medical necessity criteria (InterQual, MCG, or equivalent) * Assist with audit preparedness and response, including RAC, MAC, and ...
Short Hills, NJ · Remote
... Medicare regulations, and payer policies * Support compliance with medical necessity criteria (InterQual, MCG, or equivalent) * Assist with audit preparedness and response, including RAC, MAC, and ...
Short Hills, NJ · Remote
... Medicare regulations, and payer policies * Support compliance with medical necessity criteria (InterQual, MCG, or equivalent) * Assist with audit preparedness and response, including RAC, MAC, and ...
Manhattan, NY · On-site
$140K/yr
Monitor Medicare and managed care documentation requirements * Assist in preparing for audits and ... RAC-CT certification preferred * Strong knowledge of Medicare, PPS, PDPM, and CMS regulations
Manhattan, NY · On-site
$140K/yr
Monitor Medicare and managed care documentation requirements * Assist in preparing for audits and ... RAC-CT certification preferred * Strong knowledge of Medicare, PPS, PDPM, and CMS regulations
Manhattan, NY · On-site
$140K/yr
Monitor Medicare and managed care documentation requirements * Assist in preparing for audits and ... RAC-CT certification preferred * Strong knowledge of Medicare, PPS, PDPM, and CMS regulations
Quick apply
Manhattan, NY · On-site
$140K/yr
Monitor Medicare and managed care documentation requirements * Assist in preparing for audits and ... RAC-CT certification preferred * Strong knowledge of Medicare, PPS, PDPM, and CMS regulations
Manhattan, NY · On-site
$140K/yr
Monitor Medicare and managed care documentation requirements * Assist in preparing for audits and ... RAC-CT certification preferred * Strong knowledge of Medicare, PPS, PDPM, and CMS regulations
Manhattan, NY · On-site
$140K/yr
Monitor Medicare and managed care documentation requirements * Assist in preparing for audits and ... RAC-CT certification preferred * Strong knowledge of Medicare, PPS, PDPM, and CMS regulations
$13.94 - $15.68
4% of jobs
$15.68 - $17.43
7% of jobs
$18.97 is the 25th percentile. Wages below this are outliers.
$17.43 - $19.17
15% of jobs
$19.17 - $20.92
19% of jobs
The median wage is $21.38 / hr.
$20.92 - $22.66
18% of jobs
$22.66 - $24.41
9% of jobs
$24.89 is the 75th percentile. Wages above this are outliers.
$24.41 - $26.16
10% of jobs
$26.16 - $27.90
6% of jobs
$27.90 - $29.65
3% of jobs
$29.65 - $31.39
3% of jobs
$31.39 - $33.14
5% of jobs
$13
$22
$33
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.
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.
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.
$83K - $120K/yr
Full-time, Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 25 days ago
6.8
Based on 30 frontline employees who took The Breakroom Quiz
49th of 240 rated social care providers
Sourced by ZipRecruiter
CareOne is a leading healthcare corporation specializing in senior care, rehabilitation, and assisted living services. Based in Fort Lee, New Jersey, CareOne was established to meet the healthcare requirements of seniors across the state and has expanded its footprint over the years. With its dedication to excellence, CareOne provides a comprehensive range of medical and healthcare services, including post-acute care, long-term and assisted living, memory care, respite care, and more.
Health care and social assistance
10,000+ Employees
Fort Lee, NJ, US
1999
