Clinical Resident
Fort Lauderdale, FL · 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 ...
Fort Lauderdale, FL · 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 ...
Fort Lauderdale, FL · 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 ...
... 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 ...
Austin, TX · 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 · 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 ...
Fort Lauderdale, FL · 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 ...
Fort Lauderdale, FL · 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 ...
Fort Lauderdale, FL · 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 ...
Fort Lauderdale, FL · 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 · 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 · 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 · On-site
$37 - $44.50/hr
Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical ... RAC audits, etc. as needed with professionalism * Coordinates monthly Triple Check meeting for ...
Austin, TX · On-site
$37 - $44.50/hr
Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical ... RAC audits, etc. as needed with professionalism * Coordinates monthly Triple Check meeting for ...
Austin, TX · 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 · 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 · 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 · 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 ...
Collaborates with RAC in the application submission and maintain documentation for audit readiness ... Five (5) or more years of experience in Medicare Advantage or DSNP program management required.
Collaborates with RAC in the application submission and maintain documentation for audit readiness ... Five (5) or more years of experience in Medicare Advantage or DSNP program management required.
RAC, MAC, UPIC, SMRC, CERT, OIG, Medicare Advantage payment integrity, commercial payer SIU, and itemized bill reviews. • Manage ADR (Additional Documentation Request) workflows, audit logs, and ...
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RAC, MAC, UPIC, SMRC, CERT, OIG, Medicare Advantage payment integrity, commercial payer SIU, and itemized bill reviews. • Manage ADR (Additional Documentation Request) workflows, audit logs, and ...
... 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 ...
Riverside, CA · 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 · 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 ...
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... 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 · 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 · 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 ...
... audits, RAC audits, and regulatory examinations * Support overpayment identification ... Medicare and Medicaid billing rules * Clinical documentation and coding standards * HIPAA Privacy ...
... audits, RAC audits, and regulatory examinations * Support overpayment identification ... Medicare and Medicaid billing rules * Clinical documentation and coding standards * HIPAA Privacy ...
Atlanta, GA · On-site
... audits, RAC audits, and regulatory examinations * Support overpayment identification ... Medicare and Medicaid billing rules * Clinical documentation and coding standards * HIPAA Privacy ...
Atlanta, GA · On-site
... audits, RAC audits, and regulatory examinations * Support overpayment identification ... Medicare and Medicaid billing rules * Clinical documentation and coding standards * HIPAA Privacy ...
$65K - $75K/yr
... RAC, MAC, etc.) * 2 years minimum working knowledge of ICS 10-CM/CPT coding experience * 4 years ... onsite audits are part of the role as a nurse reviewer Educational/Experience Qualifications:
$65K - $75K/yr
... RAC, MAC, etc.) * 2 years minimum working knowledge of ICS 10-CM/CPT coding experience * 4 years ... onsite audits are part of the role as a nurse reviewer Educational/Experience Qualifications:
... audits, RAC audits, and regulatory examinations * Support overpayment identification ... Medicare and Medicaid billing rules * Clinical documentation and coding standards * HIPAA Privacy ...
... audits, RAC audits, and regulatory examinations * Support overpayment identification ... Medicare and Medicaid billing rules * Clinical documentation and coding standards * HIPAA Privacy ...
... audits, RAC audits, and regulatory examinations * Support overpayment identification ... Medicare and Medicaid billing rules * Clinical documentation and coding standards * HIPAA Privacy ...
... audits, RAC audits, and regulatory examinations * Support overpayment identification ... Medicare and Medicaid billing rules * Clinical documentation and coding standards * HIPAA Privacy ...
$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
Posted yesterday
With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. Hanger's Patient Care segment is the largest owner and operator of O&P patient care clinics nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions to the broader market. With 160 years of clinical excellence and innovation, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom.
As a Resident, you remain steadfast in your integrity and dedicated to learning and improving the lives of the patients you serve. We recognize that in doing so you not only impact the lives of those you treat but of their families, friends, and communities as well as positively representing the O&P profession. Embarking on a career with Hanger not only allows you to begin in this endeavor but elevates you as a champion of the orthotic and prosthetic market by providing superior patient care, outcomes, service and value in a collaborative environment. Advance your career by leveraging professional clinical expertise, established clinical practice guidelines, innovative technologies, specialized training & continuing education, RAC audit resources, and back office support at one of our more than 700 clinics nationwide. At Hanger, we fulfill your current residency educational requirements but also offer a potential career path to meet your changing aspirations as you continue your professional journey for years to come.
Our patients are our focus and are the heart of everything we do. As a Resident, you will receive exceptional training to prepare you for a life long career in Orthotics & Prosthetics. Under supervision, direct progressing to indirect, you will provide comprehensive prosthetic and orthotic care with the highest level of customer service. This includes assessing patients, formulating & implementing treatment plans, following-up with your patients and participating in practice management.
You will enjoy the ability of combining your unique blend of clinical and technical skills to evaluate patients, custom design, fabricate and fit prostheses and/or orthoses to deliver exceptional outcomes for the patients you serve. You will collaborate with other members of the rehabilitation team and innovate utilizing the latest technology as we all strive to empower human potential together.
The Clinician Resident is bound by the prevailing residency rules, regulations and standards set forth by NCOPE as well as the Code of Professional Responsibility from the American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC).
Depending on the operational requirements, size of the Hanger Clinic and laws imposed by state and/or local governments, this position may include some or all of the functions listed below:
Supervision Received:
Supervision is to be provided by local NCOPE accredited residency director, residency mentor(s) and Hanger Clinic clinical staff as determined by residency director. Normally receives detailed instructions on all work.
Personal Qualities
Physical Abilities
Hanger, Inc. is committed to providing equal employment opportunity in all aspects of the employer-employee relationship. All conditions and privileges of employment are administered to all employees without discrimination or harassment because of race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, special disabled veteran status, or any other classification protected by federal, state, and local laws and ordinances. The company will comply with all applicable state or local fair employment laws that forbid discrimination or harassment on the basis of other protected characteristics. Retaliation against any employee for filing or supporting a complaint of discrimination or harassment is prohibited.
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