Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
New
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
New
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Medicare Rac Audit information
See Tennessee salary details
$11.56 - $13.01
4% of jobs
$13.01 - $14.46
7% of jobs
$15.74 is the 25th percentile. Wages below this are outliers.
$14.46 - $15.91
15% of jobs
$15.91 - $17.36
19% of jobs
The median wage is $17.74 / hr.
$17.36 - $18.80
18% of jobs
$18.80 - $20.25
9% of jobs
$20.65 is the 75th percentile. Wages above this are outliers.
$20.25 - $21.70
10% of jobs
$21.70 - $23.15
6% of jobs
$23.15 - $24.59
3% of jobs
$24.59 - $26.04
3% of jobs
$26.04 - $27.49
5% of jobs
$11
$18
$27
How much do medicare rac audit jobs pay per hour?
As of Aug 3, 2026, the average hourly pay for medicare rac audit in Tennessee is $18.88, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $21.15 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?
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 popular job titles related to Medicare Rac Audit jobs in Tennessee? For Medicare Rac Audit jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Medicare Rac Audit jobs in Tennessee look for? The top searched job categories for Medicare Rac Audit jobs in Tennessee are:
Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 3 days ago
New
Parallon rating
7.9
Based on 103 frontline employees who took The Breakroom Quiz
35th of 72 rated business consultants
Job description
Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Candidates must live within in 60 miles of a HCA facility in ID, UT, NV, NH, TX, KS, MO, KY, TN, VA, GA, FL, SC and NC.
Job Summary and QualificationsAs a work from home Clinical Denials Coding Review Specialist, you will be responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular outreach to payors and Practices.
What you will do in this role:
- Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures
- Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate
- Compose technical denial arguments for reconsideration, including both written and telephonically
- Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
- Identify problem accounts/processes/trends and escalate as appropriate
- Utilize effective documentation standards that support a strong historical record of actions taken on the account
- Post denials, post or correct contractual adjustments, and post other non-cash related Explanation of Benefits (EOB) information
Requirements:
- Minimum two years related experience in accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application preferred
- Prior experience reading and interpreting Explanation of Benefits (EOB) required
- Coding certification through AHIMA or AAPC strongly preferred
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
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"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Clinical Denials Coding Review Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.