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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
... 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 ...
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 ...
... 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 ...
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 ...
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 ...
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 ...
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 ...
$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 ...
$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 ...
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 ...
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 ...
Manage the Administrative Law Judge (ALJ) hearing process for Medicare RAC and prepayment audits * Identify opportunities to reduce denials, improve payment outcomes, and strengthen reimbursement ...
Quick apply
Manage the Administrative Law Judge (ALJ) hearing process for Medicare RAC and prepayment audits * Identify opportunities to reduce denials, improve payment outcomes, and strengthen reimbursement ...
... 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 ...
... Medicare RAC and prepayment audits Identify opportunities to reduce denials, improve payment outcomes, and strengthen reimbursement performance Ensure revenue cycle operations align with payer ...
... Medicare RAC and prepayment audits Identify opportunities to reduce denials, improve payment outcomes, and strengthen reimbursement performance Ensure revenue cycle operations align with payer ...
$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 19 days ago
6.7
Based on 36 frontline employees who took The Breakroom Quiz
634th of 1,054 rated hospitals
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Health care and social assistance
1,001 - 5,000 Employees
El Paso, TX, US
1915