... Medicare RAC and prepayment audits • Identify opportunities to reduce denials, improve payment outcomes, and strengthen reimbursement performance • Ensure revenue cycle operations align with ...
... Medicare RAC and prepayment audits • Identify opportunities to reduce denials, improve payment outcomes, and strengthen reimbursement performance • Ensure revenue cycle operations align with ...
Review and obtain all pertinent medical record documentation needed for responding for initial audit, Discussion, and Appeal requests. * Identify automated RAC denials via Medicare remittance data or ...
Review and obtain all pertinent medical record documentation needed for responding for initial audit, Discussion, and Appeal requests. * Identify automated RAC denials via Medicare remittance data or ...
Medical Review Nurse - CMS RAC (Government audits)
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 ...
Medical Review Nurse - CMS RAC (Government audits)
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 ...
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys APPLY NOW ...
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys APPLY NOW ...
Physician Audit-Educator (757)
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 ...
Physician Audit-Educator (757)
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 ...
Be Seen First
Medical Billing Specialist
Costa Mesa, CA · On-site
$25 - $30/hr
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 ...
New
Quick apply
Be Seen First
Medical Billing Specialist
Costa Mesa, CA · On-site
$25 - $30/hr
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 ...
New
Physician Audit-Educator (757)
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 ...
Physician Audit-Educator (757)
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 ...
Physician Audit-Educator (757)
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 ...
Physician Audit-Educator (757)
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 ...
Regional Reimbursement Nurse Consultant
Omaha, NE · 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
Regional Reimbursement Nurse Consultant
Omaha, NE · 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 ...
Regional Reimbursement Nurse Consultant
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
Regional Reimbursement Nurse Consultant
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 ...
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys APPLY NOW ...
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys APPLY NOW ...
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys APPLY NOW ...
New
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys APPLY NOW ...
New
PMR Physician - Columbia, SC - uncapped earnings potential
Columbia, SC · 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 APPLY NOW ...
New
PMR Physician - Columbia, SC - uncapped earnings potential
Columbia, SC · 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 APPLY NOW ...
New
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys APPLY NOW ...
New
Attending Medicare meetings * Discussion of discharge plans during weekly Medicare meeting ... Providing clinical documentation to help support therapy, RAC Audits and federal surveys APPLY NOW ...
New
Director of Revenue Cycle Management
Glen Mills, PA · On-site +1
$125K - $145K/yr
Manage the ALJ Hearing Process for Medicare RAC and Prepayment Audits SKILLS & COMPETENCIES * Strong understanding of revenue cycle workflows in DME or healthcare reimbursement environments * Strong ...
Quick apply
Director of Revenue Cycle Management
Glen Mills, PA · On-site +1
$125K - $145K/yr
Manage the ALJ Hearing Process for Medicare RAC and Prepayment Audits SKILLS & COMPETENCIES * Strong understanding of revenue cycle workflows in DME or healthcare reimbursement environments * Strong ...
Director MDS - RN
Gainesville, GA · On-site
$34.75 - $42/hr
MDS RAC Certified Nurse Manages, directs and coordinates MDS assessments and completion according ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Director MDS - RN
Gainesville, GA · On-site
$34.75 - $42/hr
MDS RAC Certified Nurse Manages, directs and coordinates MDS assessments and completion according ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Director MDS - RN
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage
Director MDS - RN
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage
Director MDS - RN
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Director MDS - RN
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Denials Manager RN
$53.10 - $58.39/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
Denials Manager RN
$53.10 - $58.39/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
Denials Manager RN
San Gabriel, CA · On-site
$53.10/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
Denials Manager RN
San Gabriel, CA · On-site
$53.10/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
Overnight Medicare Rac Audit information
See salary details
$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
How much do overnight medicare rac audit jobs pay per hour?
What is the difference between Overnight Medicare Rac Audit vs Overnight Medicare RAC Auditor?
| 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
Medical, Dental, Vision, Life, Retirement, PTO
Posted 24 days ago
Job description
Full-Time On-Site
POSITION HIGHLIGHTS
• Leadership opportunity to shape and advance revenue cycle operations within a growing healthcare organization
• Opportunity to build scalable processes and drive continuous operational improvement
• Strategic partnership with executive leadership and cross-functional teams
• Direct impact on reimbursement performance, patient access, and organizational growth
• Medical, dental, vision & 401(k) benefits
• Unlimited Paid Time Off
ROLE SUMMARY
The Director of Revenue Cycle Management is responsible for leading, developing, and optimizing revenue cycle operations to support reimbursement performance, operational efficiency, and organizational growth. This role oversees the teams responsible for managing commercial, federal, and contracted payer processes, including beneficiary verification, pre-determinations, authorizations, claim submission, payment resolution, audits, denial management, and appeals.
This position will lead to the continued development and integration of the revenue cycle function, including the management and alignment of existing teams. The Director will establish effective workflows, develop performance metrics, improve communication across departments, and implement processes that support scalability and long-term success.
The ideal candidate is an experienced healthcare revenue cycle leader with strong knowledge of reimbursement operations, payer processes, team development, and operational improvement within a DME or healthcare environment.
KEY RESPONSIBILITIES
Organizational Strategy & Revenue Cycle Leadership
• Participate in company strategic planning initiatives and provide revenue cycle expertise to support organizational goals
• Develop and execute revenue cycle strategies that improve reimbursement performance, operational efficiency, and scalability
• Evaluate market access opportunities and communicate reimbursement considerations and business needs to Business Development leadership
• Partner with Business Development leadership to build industry relationships and identify opportunities that support growth
• Evaluate reimbursement opportunities for additional products, services, and future business lines
• Analyze payer trends, operational performance, and reimbursement opportunities to provide recommendations to leadership
Team Structure, Development & Communication
• Lead, develop, and manage revenue cycle teams responsible for supporting reimbursement operations and revenue generation
• Evaluate team structure, workflows, processes, and resource needs to improve operational effectiveness
• Develop and implement policies, procedures, and best practices that promote efficiency, accountability, and communication
• Establish key performance metrics and reporting processes to monitor productivity, workload, reimbursement performance, and operational trends
• Provide coaching, development, and leadership support to team members across remote and in-office environments
• Foster collaboration between Revenue Cycle, Sales, Client Services, Operations, and other departments
• Identify process improvement opportunities and implement solutions that support organizational objectives
Claims Management, Audits & Appeals
• Oversee claim submission, error correction, payment resolution, and reimbursement optimization processes
• Lead denial management strategies, including claim review, payer disputes, appeals, and resolution efforts
• Oversee payer audits, claim reviews, and reimbursement documentation processes
• Maintain reporting related to audit outcomes, reimbursement trends, and financial impact
• 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 performance
• Ensure revenue cycle operations align with payer requirements, regulatory standards, and organizational expectations
• Work effectively with company employees, managers, and departments
• Perform all job functions in alignment with the company's Mission, Vision, and Goal Statements
• Perform other duties as assigned
Requirements
• Five or more years of experience in DME, healthcare reimbursement, revenue cycle management, or related healthcare operations
• Experience building, leading, and developing revenue cycle or reimbursement teams
• Experience managing remote and in-office employees
• Experience contributing to strategic initiatives within a growing organization
• Strong understanding of healthcare payer processes, authorizations, claims management, denials, audits, and reimbursement operations
• Experience working with commercial and government payers, including Medicare processes and requirements
• Strong analytical skills with the ability to interpret data, identify trends, and implement improvements
• Strong leadership, communication, and organizational skills
SKILLS & COMPETENCIES
• Strategic leadership and operational management skills
• Strong knowledge of revenue cycle workflows and healthcare reimbursement processes
• Ability to build, develop, and lead high-performing teams
• Strong analytical and problem-solving skills
• Ability to manage complex workflows and competing priorities
• Excellent communication and collaboration skills across all levels of the organization
• Ability to influence decisions and drive process improvement initiatives
• Strong attention to detail and commitment to operational excellence
SUPERVISORY FUNCTIONS
• This position has supervisory responsibilities
ABOUT LYMPHA PRESS
Lympha Press helps people with lymphedema, venous disease, and lipedema improve their quality of life through innovative pneumatic compression therapy systems. We sell durable medical equipment across the United States and work closely with health plans, providers, and facilities to ensure patients have access to the products they need.
Our team works on-site at our headquarters in Glen Mills, PA, and across the country to provide exceptional service, operational excellence, and support for patient care and revenue growth.
Our mission is simple: Because Life Can Be Better. Join Lympha Press and help improve patient access and outcomes every day.
APPLY TODAY
If you believe that an organization can create a "Better Life" for their clients, staff, and community while operating at a profit to fulfill the shareholders' goals. You love building trusting and transparent teams and believe that companies should focus on the process of business repeatedly before looking at the people performing that process. You value Radical Candor and believe it is better to see people as people rather than objects used to accomplish a greater goal.