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Medicare Rac Audit Jobs in Ohio (NOW HIRING)

... 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 ...

... 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 ...

... 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 ...

... 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 ...

MDS Coordinator

Trotwood, OH

$31.25 - $40/hr

Participate in audits, surveys, and ongoing quality improvement efforts * Collaborate closely with ... guidelines, Medicare/Medicaid, and PDPM * PointClickCare experience preferred * RAC-CT ...

MDS Coordinator

Hudson, OH · On-site

$31.25 - $40/hr

Knowledge of Medicare/Medicaid regulations and reimbursement guidelines. * Excellent organization ... RAC-CT certification preferred (or willingness to obtain upon hire). Responsibilities: * Complete ...

MDS Nurse

Cleveland, OH · On-site

$34.50 - $45.25/hr

Ensure accuracy of Medicare, Medicaid, and insurance documentation to support appropriate ... Participate in quality improvement initiatives and audits. * Communicate effectively with nursing ...

MDS Nurse

Cleveland, OH · On-site

$34.75 - $45.25/hr

Ensure accuracy of Medicare, Medicaid, and insurance documentation to support appropriate ... Participate in quality improvement initiatives and audits. * Communicate effectively with nursing ...

LPN MDS Nurse - LPN MDS Nurse

Cleveland, OH · On-site

$34.75 - $45.25/hr

Conduct documentation reviews and audits to ensure accuracy and regulatory compliance. * Educate ... Experience with Medicare, Medicaid, PDPM, and managed care reimbursement. * RAC-CT certification or ...

Medicare Rac Audit information

See Ohio salary details

$12

$19

$28

How much do medicare rac audit jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for medicare rac audit in Ohio is $19.77, according to ZipRecruiter salary data. Most workers in this role earn between $16.44 and $22.16 per hour, depending on experience, location, and employer.

What is a Medicare RAC Audit?

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 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 are the most commonly searched types of Medicare Rac Audit jobs in Ohio?

The most popular types of Medicare Rac Audit jobs in Ohio are:

What are popular job titles related to Medicare Rac Audit jobs in Ohio?

For Medicare Rac Audit jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Medicare Rac Audit jobs in Ohio look for?

The top searched job categories for Medicare Rac Audit jobs in Ohio are:

Infographic showing various Medicare Rac Audit job openings in Ohio as of August 2026, with employment types broken down into 88% Full Time, 6% Part Time, 2% Temporary, and 4% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $41,127 per year, or $19.8 per hour.

Certified Coder / Audit Specialist

Summa Health System

Akron, OH • On-site

$30.31 - $36.37/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Summa Health rating

7.6

Company rating: 7.6 out of 10

Based on 120 frontline employees who took The Breakroom Quiz

192nd of 896 rated healthcare providers


Job description

Certified Coder / Audit Specialist
Summa Health Medical Group
Akron, OH 44304
Full-Time Days
Will work remote after training and orientation
  • Two (2) years of work experience in a physician's office or Out-patient/In-patient setting performing documentation review per compliance and Medicare/Medicaid Standards, diagnostic code sequencing and familiarity to Medical Terminology required.
  • Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Medical Coder (CMC), Certified Professional Coder (CPC), Certified ProfessionalMedical Auditor (CPMA) reqired.
Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.
Summary:
Audits medical records per compliance measures for all SPI Physicians and providers; prepares and distributes recommendations and result findings including detailed reports of medical chart documentation issues. Provides education and training to providers and staff. Functions as a resource on coding related issues for SPI areas.
Formal Education Required:
-Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Medical Coder (CMC), Certified Professional Coder (CPC), Certified Professional
Medical Auditor (CPMA).
-Passing score of 70% or better on an outpatient/inpatient coding test administered by the Manager
Experience and Training Required:
-Two (2) years of work experience in a physician's office or Out-patient/In-patient setting performing documentation review per compliance and Medicare/Medicaid Standards, diagnostic code sequencing and familiarity to Medical Terminology
Other Skills, Competencies and Qualifications:
-Ability to understand and follow the all policies for Chart Reviews/Audits by Insurance Carriers, any government, state or local entity including HEDIS, CERT and RAC.
-Knowledge in compliance to all guidelines including Medicare and Medicaid Standards.
-Ability to review medical documentation written or within an EMR.
-Understands and can perform job duties with the utmost level of confidentiality.
-Understands and exhibits work practices to support HIPAA Regulations and abides by all measures of Compliance.
-Knowledge in HIM, traditional medical charts and record storage.
Equal Opportunity Employer/Veterans/Disabled
$30.31/hr - $36.37/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.
  • Basic Life and Accidental Death & Dismemberment (AD&D)
  • Supplemental Life and AD&D
  • Dependent Life Insurance
  • Short-Term and Long-Term Disability
  • Accident Insurance, Hospital Indemnity, and Critical Illness
  • Retirement Savings Plan
  • Flexible Spending Accounts - Healthcare and Dependent Care
  • Employee Assistance Program (EAP)
  • Identity Theft Protection
  • Pet Insurance
  • Education Assistance
  • Daily Pay

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