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Medicare Rac Audit Jobs in Texas (NOW HIRING)

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Medicare Rac Audit information

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$11

$19

$28

How much do medicare rac audit jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for medicare rac audit in Texas is $19.38, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $21.73 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 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 Texas? The most popular types of Medicare Rac Audit jobs in Texas are:
What are popular job titles related to Medicare Rac Audit jobs in Texas? For Medicare Rac Audit jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Medicare Rac Audit jobs in Texas look for? The top searched job categories for Medicare Rac Audit jobs in Texas are:
Medicare Rac Audit jobs near you
Infographic showing various Medicare Rac Audit job openings in Texas as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $40,304 per year, or $19.4 per hour.
Project Mgr. RAC

Project Mgr. RAC

University Medical Center of El Paso

El Paso, TX • On-site

Full-time

Posted 12 days ago

University Medical Center Of El Paso rating

6.7

Company rating: 6.7 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

637th of 1,051 rated hospitals

Job description


The RAC Project Manager performs activities related to the coordination and management of the Medicare RAC Program involving audit defense and claims appeals. Works closely with Case Management staff for determination of medical necessity status. Monitors processes and implements procedures as needed to ensure compliance with federal guidelines involving reimbursement for services performed. Acts as a resource to provide board level reports of program status related to job related functions.
Required Skills:
  1. Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements.
  2. Knowledge base in medical terminology, healthcare coding processes including CPT4, HCPCS, ICD-9
  3. Knowledge of Medicaid and Medicare, HIPAA, TJC regulations, and healthcare laws and regulations.
  4. Knowledge and ability to interpret government regulations, medical documentation,
  5. Knowledge and ability to identify fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines.
  6. Knowledge and ability to apply strong analytical skills, data management and operational process, and computer skills involved in the preparation of reports and presentations.
  7. Knowledge of complexities of an Academic Medical Center. Involves others appropriately in consultations and decisions.
  8. Ability to operate successfully in a constantly changing, fast-paced environment.
  9. Ability to apply clinical expertise to review and audit medical records.
  10. Ability to apply excellent interpersonal communication and negotiation skills.
  11. Ability to apply written and oral communication skills.
  12. Ability to work with people of all social, economic, and cultural backgrounds. Exemplifies an approachable style that elicits open communication with Associates, Management staff, and Physicians. Strong interpersonal skills demonstrating the ability to listen effectively.
  13. Ability to be flexible, open-minded and adaptable to change.
  14. Ability to apply strong organizational and time management skills to multi-task in a fast paced environment and prioritize tasks and role components.
  15. Ability to and coordinate with different departments and entities simultaneously in order to carry out auditing function to meet deadlines and goals.
  16. Ability to work independently and exercise sound judgment in interactions with members of the workforce, contracted vendors, and patients/families. Ability to maintain a high degree of credibility, independence, integrity, confidentiality and trust required.
  17. Ability to develop partnerships, teamwork and good working relationships and maintain an open, participative communication style.
  18. Bilingual English/Spanish preferred, culturally sensitive.

Required Experience:
Work Experience:
Three years of experience in healthcare project or program management required. Experience in case management, coding, auditing, healthcare fraud investigation, and clinical documentation preferred.
License/Registration/Certification
RN License preferred;
Certified Case Manager (CCM), Certified Professional Medical Auditor (CPMA), or Certified Medical Audit Specialist (CMAS) obtained within two years of accepting position.
Education/Training
Bachelors degree required; preferably in Business, Medical Records Technology, Health Services Administration, Nursing or related field. Masters degree preferred.

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