Clinical Resident
Castro Valley, CA ยท On-site
... 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 ...
Castro Valley, CA ยท On-site
... 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 ...
Castro Valley, CA ยท On-site
... 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 ...
Austin, TX ยท On-site
$34 - $43.25/hr
Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical ... RAC audits, etc. as needed with professionalism * Coordinate monthly Triple Check meeting for ...
Austin, TX ยท On-site
$34 - $43.25/hr
Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical ... RAC audits, etc. as needed with professionalism * Coordinate monthly Triple Check meeting for ...
Castro Valley, CA ยท On-site
... 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 ...
Castro Valley, CA ยท On-site
... 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 ...
Florence, SC ยท On-site
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Florence, SC ยท On-site
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Austin, TX ยท On-site
$34 - $43.25/hr
Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical ... RAC audits, etc. as needed with professionalism * Coordinate monthly Triple Check meeting for ...
Quick apply
Austin, TX ยท On-site
$34 - $43.25/hr
Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical ... RAC audits, etc. as needed with professionalism * Coordinate monthly Triple Check meeting for ...
Austin, TX ยท On-site
$34 - $43.25/hr
Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical ... RAC audits, etc. as needed with professionalism * Coordinate monthly Triple Check meeting for ...
Austin, TX ยท On-site
$34 - $43.25/hr
Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical ... RAC audits, etc. as needed with professionalism * Coordinate monthly Triple Check meeting for ...
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Myrtle Beach, SC ยท On-site
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Myrtle Beach, SC ยท On-site
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Aiken, SC ยท On-site
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
New
Aiken, SC ยท On-site
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
New
... RAC-CTA) preferred. * Certified in Healthcare Compliance (must be obtained within one year of hire). Experience * 4 to 7 years of experience in Medicaid, Medicare, & Managed Care ADRs, Audits ...
Quick apply
... RAC-CTA) preferred. * Certified in Healthcare Compliance (must be obtained within one year of hire). Experience * 4 to 7 years of experience in Medicaid, Medicare, & Managed Care ADRs, Audits ...
Riverside, CA ยท On-site
$105K - $145K/yr
... audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI ...
Riverside, CA ยท On-site
$105K - $145K/yr
... audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI ...
... RAC-CTA) preferred. * Certified in Healthcare Compliance (must be obtained within one year of hire). Experience * 4 to 7 years of experience in Medicaid, Medicare, & Managed Care ADRs, Audits ...
... RAC-CTA) preferred. * Certified in Healthcare Compliance (must be obtained within one year of hire). Experience * 4 to 7 years of experience in Medicaid, Medicare, & Managed Care ADRs, Audits ...
... RAC-CTA) preferred. * Certified in Healthcare Compliance (must be obtained within one year of hire). Experience * 4 to 7 years of experience in Medicaid, Medicare, & Managed Care ADRs, Audits ...
Quick apply
... RAC-CTA) preferred. * Certified in Healthcare Compliance (must be obtained within one year of hire). Experience * 4 to 7 years of experience in Medicaid, Medicare, & Managed Care ADRs, Audits ...
Riverside, CA ยท On-site
$105K - $145K/yr
... audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI ...
Riverside, CA ยท On-site
$105K - $145K/yr
... audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI ...
Clarksville, TX ยท On-site
$31.75 - $41.50/hr
Excellent knowledge of RAI Process, the federal Medicare PPS process, and Medicaid reimbursement as ... RAC audits, etc. as needed with professionalism * Coordinates monthly Triple Check meeting for ...
Clarksville, TX ยท On-site
$31.75 - $41.50/hr
Excellent knowledge of RAI Process, the federal Medicare PPS process, and Medicaid reimbursement as ... RAC audits, etc. as needed with professionalism * Coordinates monthly Triple Check meeting for ...
Baytown, TX ยท On-site
$32 - $41.75/hr
Excellent knowledge of RAI Process, the federal Medicare PPS process, and Medicaid reimbursement as ... RAC audits, etc. as needed with professionalism * Coordinates monthly Triple Check meeting for ...
Baytown, TX ยท On-site
$32 - $41.75/hr
Excellent knowledge of RAI Process, the federal Medicare PPS process, and Medicaid reimbursement as ... RAC audits, etc. as needed with professionalism * Coordinates monthly Triple Check meeting for ...
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
$500K/yr
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys The ...
Clarksville, TX ยท On-site
$31.75 - $41.50/hr
Excellent knowledge of RAI Process, the federal Medicare PPS process, and Medicaid reimbursement as ... RAC audits, etc. as needed with professionalism * Coordinates monthly Triple Check meeting for ...
Clarksville, TX ยท On-site
$31.75 - $41.50/hr
Excellent knowledge of RAI Process, the federal Medicare PPS process, and Medicaid reimbursement as ... RAC audits, etc. as needed with professionalism * Coordinates monthly Triple Check meeting for ...
$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.

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 21 days ago