RAC Coordinator
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...
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 ...
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 ...
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), 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 ...
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives • Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services ...
... 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 ...
Hattiesburg, MS · On-site
... RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves ... Must have thorough knowledge and experience in Medicare rules and regulations and billing and ...
Hattiesburg, MS · On-site
... RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves ... Must have thorough knowledge and experience in Medicare rules and regulations and billing and ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
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 ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
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 ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
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 ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
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 ...
Minot, ND · On-site
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · On-site
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · Remote
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · Remote
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · On-site
$172K - $216K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · On-site
$172K - $216K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
West Des Moines, IA · Remote
$90K - $110K/yr
RAC-CT certification preferred * Experience with Triple Check, Medicare meetings, care planning ... Lodging and meal reimbursement when overnight travel is required * Licensure or certification ...
Quick apply
West Des Moines, IA · Remote
$90K - $110K/yr
RAC-CT certification preferred * Experience with Triple Check, Medicare meetings, care planning ... Lodging and meal reimbursement when overnight travel is required * Licensure or certification ...
West Des Moines, IA · Remote
$90K - $110K/yr
RAC-CT certification preferred * Experience with Triple Check, Medicare meetings, care planning ... Lodging and meal reimbursement when overnight travel is required * Licensure or certification ...
Quick apply
West Des Moines, IA · Remote
$90K - $110K/yr
RAC-CT certification preferred * Experience with Triple Check, Medicare meetings, care planning ... Lodging and meal reimbursement when overnight travel is required * Licensure or certification ...
$10.34 - $13.61
15% of jobs
$14.34 is the 25th percentile. Wages below this are outliers.
$13.61 - $16.89
46% of jobs
$18.63 is the 75th percentile. Wages above this are outliers.
$16.89 - $20.17
26% of jobs
$20.17 - $23.45
7% of jobs
$23.45 - $26.73
1% of jobs
$26.73 - $30
1% of jobs
$30 - $33.28
1% of jobs
$33.28 - $36.56
0% of jobs
$36.56 - $39.84
1% of jobs
$39.84 - $43.12
1% of jobs
$43.12 - $46.39
0% of jobs
$10
$19
$46
| Aspect | Overnight Medicare RAC Audit | Overnight Medicare RAC Auditor |
|---|---|---|
| Credentials | Typically requires healthcare compliance knowledge, auditing certifications | Same as RAC Audit, often requiring healthcare or auditing certifications |
| Work Environment | Night shifts in healthcare or auditing firms, remote or onsite | Night shifts in healthcare compliance departments or auditing firms |
| Industry Usage | Used by healthcare providers, auditors, and compliance teams | Commonly used by healthcare auditors, compliance specialists, and billing professionals |
Both roles involve auditing Medicare claims, but the Overnight Medicare RAC Audit focuses on reviewing and identifying improper payments for recovery audit contractors, while the Overnight Medicare RAC Auditor performs detailed audits to ensure compliance and accuracy in Medicare billing. The main difference lies in the scope: RAC Auditors often work on specific claims, whereas RAC Audits may encompass broader review processes.

Full-time
Posted 2 days ago
Job Title:
RAC CoordinatorCost Center:
Revenue IntegrityJob Description:
Position Summary:
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management, monitoring, and direction of RAC Activities. This position provides financial data and analysis for internal and external reporting, ensures GPH is prepared for RAC audits, responds to audit requests, challenges questionable determinations, and files timely appeals.
Minimum qualifications:
Education Bachelor's degree or equivalent combination of education and work experience. Extensive knowledge of CMS rules and regulations. Knowledge of state and federal laws related to healthcare billing requirements. A minimum of three years of hospital coding, billing, or revenue integrity experience. Credentials A Certified Professional Coder with a Registered Health Information Technician (RHIT), or a Certified Coding Specialist (CCS), and/or Registered Health Information Administrator (RHIA) preferred. Clinical background preferred.
Essential Functions
1. Central point person for all government claim recovery activities.
2. Coordinates, initiates, monitors, and responds to all audit requests/demands.
3. Initiates and monitors the appeal processes in a timely manner.
4. Performs research, gathers financial data, and conducts focused audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make recommendations.
5. Coordinates with facility subject matter experts when necessary.
6.Uses data or maintains database to track information including but not limited to trends regarding Medicare and Medicaid billing practice both within and outside of the hospital.
7. Manages internal and external billing audit communications for all audit-related correspondence.
8. Continuously evaluates and improves processes in preparation for audit requests and in response to audit findings. Assists interdisciplinary teams in identifying and prioritizing areas of process improvement and develop/implement processes and tools to mitigate risk
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