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Rac Auditor Jobs (NOW HIRING)

Highmark Health

Coding Auditor Senior

$54.25/hr

Senior most coding auditor who evaluates medical records to determine the accuracy of coding ... RAC, MIC, ZPIC, etc. Interacts with external consultants regarding, billing, coding and/or ...

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL

$19.50 - $25/hr

Experience in RAC auditing / review. * DCFS Mandated Reporter Certificate of Completion required. * CNLM Performed * Personal * Demonstrated ability to manage both clinicians and non-clinicians.

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL · On-site

$93K - $140K/yr

Experience in RAC auditing / review. * DCFS Mandated Reporter Certificate of Completion required. * CNLM Performed * Personal * Demonstrated ability to manage both clinicians and non-clinicians.

Pacs

RAC-CT preferred. * Prior experience with clinical auditing and conducting internal investigations, in a healthcare setting. * Ensures compliance with regulations and controls by examining and ...

Albany Med

Revenue Integrity Compliance Auditor

Albany, NY · On-site

$70K - $108K/yr

Using established auditing and research techniques, determines the adequacy of medical records ... RAC Audit requests, ensuring timely appeals, as appropriate, and reporting any identified risks to ...

WVU Medicine

Professional Coding Auditor-Educator

$28 - $31.75/hr

Includes, but not limited to, RAC denials, insurance/3rd party payor denials, etc. 12. Communicates ... auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. ...

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How much do rac auditor jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for rac auditor in the United States is $16.25, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.27 per hour, depending on experience, location, and employer.

What is a RAC auditor?

RAC Auditors, or Recovery Audit Contractors, are professionals hired by the Centers for Medicare & Medicaid Services (CMS) to identify and correct improper Medicare payments. Their primary role is to review medical records and billing data to detect overpayments or underpayments to healthcare providers. RAC Auditors help ensure that Medicare funds are used appropriately by recovering funds paid in error and educating providers on proper billing practices. They play a crucial role in maintaining the integrity of the Medicare program.

What skills and qualifications are needed to be a RAC auditor?

To thrive as a RAC (Recovery Audit Contractor) Auditor, you need a strong background in healthcare compliance, medical coding, billing, and an understanding of Medicare and Medicaid regulations, often supported by certifications such as CPC or CCS. Familiarity with auditing tools, claims management software, and electronic health record (EHR) systems is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for accurately reviewing claims and interacting with healthcare providers. These competencies ensure accurate identification of improper payments, regulatory compliance, and minimized financial risk for healthcare organizations.

What challenges do RAC auditors face when reviewing healthcare claims?

RAC Auditors frequently encounter challenges such as navigating complex medical documentation, ensuring compliance with ever-changing regulations, and handling large volumes of claims within tight deadlines. Effective time management, strong attention to detail, and continuous education on regulatory updates are essential for success in this role. Collaborating closely with healthcare providers and maintaining clear communication helps resolve discrepancies and supports accurate claim determinations.

What is the difference between Rac Auditor vs Rac Investigator?

AspectRac AuditorRac Investigator
CertificationsTypically requires compliance and auditing certificationsOften requires investigative or law enforcement credentials
Work EnvironmentOffice-based, focused on reviewing records and processesField and office-based, involved in interviews and investigations
Employer & IndustryHealthcare, insurance, or corporate sectorsLegal, law enforcement, or regulatory agencies
Search & Comparison IntentUnderstanding audit roles and responsibilitiesUnderstanding investigative procedures and scope

While both roles involve compliance and oversight, a Rac Auditor primarily reviews records and processes to ensure fairness and adherence to policies. In contrast, a Rac Investigator conducts investigations into specific incidents or violations, often involving interviews and evidence collection. The roles differ mainly in scope and approach but share a focus on racial fairness and compliance within their respective environments.

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Rac Auditor jobs near you
Infographic showing various Rac Auditor job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 9% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $33,806 per year, or $16.3 per hour.

Charge Auditor Clinical - Surgical Services

CHRISTUS Health

Santa Fe, NM • On-site

Full-time

Re-posted 28 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 533 frontline employees who took The Breakroom Quiz

535th of 898 rated healthcare providers

Job description

Summary:
The Charge Auditor Clinical is a Registered Nurse who performs the primary functions of coordinating the process of capturing observation charges and other direct care/nursing department charges. The Charge Auditor oversees the documentation and billing of the observation patients to ensure compliance with all standards and guidelines as set forth. The Charge Auditor adheres to the philosophy of CHRISTUS, showing concern and the spirit of teamwork to visitors, patients, and fellow associates.
Responsibilities:
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Responsible for performing all functions to accomplish the abstracting of patient and procedure information to provide correct billing information.
  • Reviews surgical records within one business day of surgery date to identify opportunities for documentation by nursing and other clinical personnel.
  • Ensures timely entering of surgical charges.
  • Develops and implement plans for both formal and informal education of nursing and other clinical associates regarding documentation and related observation charging and billing.
  • Participates in charge audits and reviews as necessary. (i.e., RAC audit, Patient requested audit, etc.).
  • HealthStream (HLC) modules completed by the assigned date.
  • Maintain licensure or certification without lapse.
  • Maintain BCLS/ACLS certification, if required for the Job.

Job Requirements:
Education/Skills
  • Graduate from an accredited school of Nursing required.

Experience
  • 2 years clinical nursing experience required.
  • Experience in Surgical Services setting preferred.

Licenses, Registrations, or Certifications
  • Active RN Licensure in the State of employment required
  • BLS required

Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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