Project Mgr. RAC
El Paso, TX · On-site
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. * Knowledge ...
Project Mgr. RAC
El Paso, TX · On-site
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. * Knowledge ...
Project Mgr. RAC
El Paso, TX · On-site
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. Knowledge base ...
Project Mgr. RAC
El Paso, TX · On-site
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. Knowledge base ...
Project Mgr. RAC
El Paso, TX · On-site
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. * Knowledge ...
Project Mgr. RAC
El Paso, TX · On-site
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. * Knowledge ...
Project Mgr. RAC
El Paso, TX · On-site
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. * Knowledge ...
Project Mgr. RAC
El Paso, TX · On-site
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. * Knowledge ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
RAC Specialist
North Platte, NE · On-site
$18.75 - $25.75/hr
The RAC Specialist serves as the organizational subject matter specialist for Recovery Audit ... Medicare and Medicaid billing requirements, payer audit processes, healthcare documentation ...
RAC Specialist
North Platte, NE · On-site
$18.75 - $25.75/hr
The RAC Specialist serves as the organizational subject matter specialist for Recovery Audit ... Medicare and Medicaid billing requirements, payer audit processes, healthcare documentation ...
Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6.Finalize and sign-off with those auditors on agreed upon ...
Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6.Finalize and sign-off with those auditors on agreed upon ...
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
RAC Manager
Ontario, CA · On-site
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
Ontario, CA · On-site
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
Ontario, CA · On-site
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
Ontario, CA · On-site
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS ...
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS ...
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS ...
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS ...
Healthcare Audit Analyst (Remote)
Hyannis, MA · On-site +1
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives • Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services ...
Healthcare Audit Analyst (Remote)
Hyannis, MA · On-site +1
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives • Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services ...
... Medicare, Medicaid, and other payer reimbursement requirements. This position plays a key role in ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
... Medicare, Medicaid, and other payer reimbursement requirements. This position plays a key role in ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
On Call Medicare Rac Audit information
See salary details
$10.58 - $11.89
2% of jobs
$11.89 - $13.20
8% of jobs
$13.20 - $14.51
12% of jobs
$14.72 is the 25th percentile. Wages below this are outliers.
$14.51 - $15.82
18% of jobs
The median wage is $16.39 / hr.
$15.82 - $17.13
23% of jobs
$17.13 - $18.44
12% of jobs
$18.47 is the 75th percentile. Wages above this are outliers.
$18.44 - $19.76
12% of jobs
$19.76 - $21.07
5% of jobs
$21.07 - $22.38
4% of jobs
$22.38 - $23.69
2% of jobs
$23.69 - $25
2% of jobs
$10
$17
$25
How much do on call medicare rac audit jobs pay per hour?
As of Aug 1, 2026, the average hourly pay for on call medicare rac audit in the United States is $17.22, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.99 per hour, depending on experience, location, and employer.
What are the most commonly searched types of Medicare Rac Audit jobs? The most popular types of Medicare Rac Audit jobs are:
Full-time
Posted 18 days ago
University Medical Center Of El Paso rating
6.7
Based on 36 frontline employees who took The Breakroom Quiz
634th of 1,054 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:
- 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.
- Knowledge base in medical terminology, healthcare coding processes including CPT4, HCPCS, ICD-9
- Knowledge of Medicaid and Medicare, HIPAA, TJC regulations, and healthcare laws and regulations.
- Knowledge and ability to interpret government regulations, medical documentation,
- Knowledge and ability to identify fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines.
- Knowledge and ability to apply strong analytical skills, data management and operational process, and computer skills involved in the preparation of reports and presentations.
- Knowledge of complexities of an Academic Medical Center. Involves others appropriately in consultations and decisions.
- Ability to operate successfully in a constantly changing, fast-paced environment.
- Ability to apply clinical expertise to review and audit medical records.
- Ability to apply excellent interpersonal communication and negotiation skills.
- Ability to apply written and oral communication skills.
- 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.
- Ability to be flexible, open-minded and adaptable to change.
- Ability to apply strong organizational and time management skills to multi-task in a fast paced environment and prioritize tasks and role components.
- Ability to and coordinate with different departments and entities simultaneously in order to carry out auditing function to meet deadlines and goals.
- 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.
- Ability to develop partnerships, teamwork and good working relationships and maintain an open, participative communication style.
- 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.
What University Medical Center Of El Paso employees say
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Benefits
Hours and flexibility
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About University Medical Center of El Paso
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
El Paso, TX, US
Year founded
1915