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Pacs

JOB SUMMARY Reporting to the Senior Director of Clinical Audit, the Clinical Compliance Auditor II ... RAC-CT preferred. * Prior experience conducting audits and or conducting internal investigations ...

Pacs

Job Summary The Clinical Compliance Auditor I is responsible for conducting routine audits of ... RAC-CT preferred. * 3+ years of increasing levels of responsibility in compliance and/or skilled ...

Neshent Technologies

$51.75 - $70.50/hr

The ideal candidate will have expertise in Oracle RAC, Data Guard, RMAN, performance tuning, backup ... Implement database security, user management, encryption, and auditing. * Automate DBA tasks using ...

Neshent Technologies

$49.75 - $67.50/hr

The ideal candidate will have expertise in Oracle RAC, Data Guard, RMAN, performance tuning, backup ... Implement database security, user management, encryption, and auditing. * Automate DBA tasks using ...

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How much do rac auditor jobs pay per hour?

As of Sep 1, 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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What states have the most Rac Auditor jobs?

States with the most job openings for Rac Auditor jobs include:

What job categories do people searching Rac Auditor jobs look for?

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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.

Compliance Clinical Auditor I - Therapy

PACS

Farmington, UT • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

PACS Group rating

7.8

Company rating: 7.8 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

6th of 245 rated social care providers

Job description

COMPANY OVERVIEW
PACS Group, Inc. is a holding company investing in post-acute healthcare facilities, professionals, and ancillary services. Founded in 2013, PACS Group is one of the largest post-acute platforms in the United States. Its independent subsidiaries operate 325 post-acute care facilities with 47,000 employees across 17 states serving over 31,000 patients daily. PACS business support division, PACS Services, provides technology and administrative support services - accounting, finance, human resources, compliance, payroll, AR/AP, legal, risk management, information technology, corporate communication, and other business advice and support - to their healthcare facilities, reducing administrative burdens so their leadership and care teams can focus on the care, well-being, and quality of life of their patients and residents. PACS is one of Utah's Best Companies to work for. It has also been recognized as one of Utah's Fastest Growing Companies for multiple years.
Job Summary
The Clinical Compliance Auditor I is responsible for conducting routine audits of clinical documentation, regulatory compliance practices, and reimbursement related processes related to Skilled Nursing Facilities. This role ensures adherence to federal, state, and local regulations including CMS requirements, supports quality improvement initiatives, and promotes accurate clinical documentation and billing practices.
Essential Duties
  • Complete internal audits related to billing and reimbursement accuracy, documentation integrity, therapy utilization and coding, quality and clinical documentation.
  • Analyze audit findings to identify trends and root causes.
  • Partner with operations and clinical operations to implement corrective action plans and ensure timely follow-up.
  • Conduct and or partner on compliance investigations, ensuring completed timely, objectively and well documented.
  • Deliver live and virtual training sessions in collaboration with operations and clinical operations.
  • Cross functional collaboration across the organization, including (but not limited to) operations, clinical operations, finance, HR and IT teams.
  • Provide regular updates on investigation and audit results and prepare reports.

Qualifications & Experience
  • Active License in Physical Therapy (PT) or Occupational Therapy (OT).
  • Bachelor's degree required. Master's degree preferred.
  • AAPC, AHIMA or HCCA Coding certification and or Auditing/Compliance certification (CPC, CCS, CCS-P, COC, CPMA, CHC) preferred. RAC-CT preferred.
  • 3+ years of increasing levels of responsibility in compliance and/or skilled nursing facilities. Specifically regional therapy services and or dedicated compliance roles, with oversight experience supporting multiple healthcare sites.
  • A deep understanding and application of Medicare and Medicaid documentation, coding and regulations
  • Prior experience conducting audits and or conducting internal investigations, in a healthcare setting.
  • Strong analytical capabilities, excellent communication, attention to detail, and ability to work in a dynamic, fast-paced setting.

WHAT IS EXPECTED OF YOU AT THIS LEVEL
  • Ability to carry out responsibilities with minimal supervision.
  • Apply knowledge and understanding of concepts, principles, and technical capabilities to manage audits and investigations.
  • Ability to effectively prioritize and execute tasks in a fast-paced, dynamic environment.
  • Excellent time management, personal integrity and ability to maintain confidentiality.
  • Effective written and verbal communication.

PHYSICAL DEMANDS
  • Primarily sedentary role with extended periods of computer work.
  • Occasional standing, walking, and light lifting (up to 10-20 lbs).
  • Regular use of hands for typing and office equipment.
  • Ability to read and review detailed documents.
  • Clear verbal and written communication required.
  • Occasional travel based on business needs.

Work Location
  • This role is remote, requiring less than 25% travel.
  • Preferred locations- Utah, Montana, North Dakota, South Dakota, New Mexico, Texas

Join PACS: Elevate Healthcare with Us!
PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.
If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let's shape the future of healthcare!
Join Our Team and Thrive!
At PACS, we believe our employees are our greatest asset. That's why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.
Our Comprehensive Benefits Include
  • Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
  • PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
  • Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
  • Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
  • Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

Join us at PACS and take advantage of a workplace that truly values you!
We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.

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About PACS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Farmington, UT, US

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