Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Gainesville, GA · On-site
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage
Gainesville, GA · On-site
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage
San Gabriel, CA · On-site
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
San Gabriel, CA · On-site
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
Louisville, KY · On-site
$60K - $70K/yr
... Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and Managed Care payers for Skilled Nursing (SNF) and Long-Term Care (LTC) facilities. This role partners closely with facility ...
Louisville, KY · On-site
$60K - $70K/yr
... Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and Managed Care payers for Skilled Nursing (SNF) and Long-Term Care (LTC) facilities. This role partners closely with facility ...
Louisville, KY · On-site
$60K - $70K/yr
... Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and Managed Care payers for Skilled Nursing (SNF) and Long-Term Care (LTC) facilities. This role partners closely with facility ...
Louisville, KY · On-site
$60K - $70K/yr
... Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and Managed Care payers for Skilled Nursing (SNF) and Long-Term Care (LTC) facilities. This role partners closely with facility ...
Louisville, KY · On-site
$60K - $70K/yr
... Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and Managed Care payers for Skilled Nursing (SNF) and Long-Term Care (LTC) facilities. This role partners closely with facility ...
Louisville, KY · On-site
$60K - $70K/yr
... Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and Managed Care payers for Skilled Nursing (SNF) and Long-Term Care (LTC) facilities. This role partners closely with facility ...
San Gabriel, CA · On-site
$53.10 - $58.39/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
San Gabriel, CA · On-site
$53.10 - $58.39/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
San Gabriel, CA · On-site
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
San Gabriel, CA · On-site
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
San Gabriel, CA · On-site
$53.10/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
San Gabriel, CA · On-site
$53.10/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
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 ...
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 ...
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 ...
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 ...
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 ...
Convent Station, 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 ...
Convent Station, 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 ...
$17.25 - $23.25/hr
... Medicare, Medicare Advantage, and commercial payer audits • Prior demand package review or ... RAC, UPIC, or commercial payer audit response • Multi-state Medicaid policy interpretation • ...
$17.25 - $23.25/hr
... Medicare, Medicare Advantage, and commercial payer audits • Prior demand package review or ... RAC, UPIC, or commercial payer audit response • Multi-state Medicaid policy interpretation • ...
$19.25 - $25.50/hr
... Medicare, Medicare Advantage, and commercial payer audits • Prior demand package review or ... RAC, UPIC, or commercial payer audit response • Multi-state Medicaid policy interpretation • ...
$19.25 - $25.50/hr
... Medicare, Medicare Advantage, and commercial payer audits • Prior demand package review or ... RAC, UPIC, or commercial payer audit response • Multi-state Medicaid policy interpretation • ...
$12.74 - $14.34
4% of jobs
$14.34 - $15.93
7% of jobs
$17.34 is the 25th percentile. Wages below this are outliers.
$15.93 - $17.53
15% of jobs
$17.53 - $19.12
19% of jobs
The median wage is $19.54 / hr.
$19.12 - $20.72
18% of jobs
$20.72 - $22.31
9% of jobs
$22.75 is the 75th percentile. Wages above this are outliers.
$22.31 - $23.91
10% of jobs
$23.91 - $25.50
6% of jobs
$25.50 - $27.10
3% of jobs
$27.10 - $28.69
3% of jobs
$28.69 - $30.29
5% of jobs
$12
$20
$30
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.
$34.50 - $41.75/hr
Other
Posted 13 days ago
MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion according to RAI guidelines.
Qualifications:Sourced by ZipRecruiter
Health care and social assistance
201 - 500 Employees
Gainesville, GA, US
