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Remote Rac Auditor Jobs (NOW HIRING)

Thedacare

Coding Auditor

Manchester, IA · Remote

$24.50 - $28/hr

... hrs/week * Remote, flexible schedule * Preferred facility/hospital inpatient coding/auditing ... RAC, HRSA, and PERM to ensure appropriate reimbursement. Reviews internal processes to ensure ...

Modernizing Medicine, Inc.

Medical Coding Auditor

... attending remote coding sessions with the global coding teams * Help with other daily ... Support in the review, appeal and follow-up of third-party (RAC, CERT, etc.) audits * Assist in ...

Modernizing Medicine, Inc.

Medical Coding Auditor

... attending remote coding sessions with the global coding teams * Help with other daily ... Support in the review, appeal and follow-up of third-party (RAC, CERT, etc.) audits * Assist in ...

Pacs

RAC-CT preferred. * Prior experience with clinical auditing and conducting internal investigations ... This role is remote, requiring less than 25% travel. Join PACS: Elevate Healthcare with Us! PACS is ...

Pacs

RAC-CT preferred. * Prior experience conducting audits and or conducting internal investigations ... This role is remote, requiring less than 25% travel. * Preferred locations- Utah, Montana, North ...

Pacs

RAC-CT preferred. * 3+ years of increasing levels of responsibility in compliance and/or skilled ... This role is remote, requiring less than 25% travel. * Preferred locations- Utah, Montana, North ...

Phsorg

Remote IP Facility Coder with CCS

$24.27 - $41.33/hr

Provides support via auditing and training the enterprise-wide corrective action plans for coding ... RAC and other audit agency focuses, as well as internal and external risk assessments * Regularly ...

PSI (Proteam Solutions)

Sr. Oracle DBA-Remote

Required : • Extensive work experience in Oracle RAC Database Administration. • Comprehensive ... Auditing, data classification, and security preventive techniques. • Well experienced on Oracle ...

TRINITY HEALTH

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 ... May consider remote employee. Licenses and Certifications Required * Certification as a ...

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How much do remote rac auditor jobs pay per year?

As of Sep 1, 2026, the average yearly pay for remote rac auditor in the United States is $86,952.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,000.00 and $92,500.00 per year, depending on experience, location, and employer.

What is a remote RAC auditor?

A Remote RAC (Recovery Audit Contractor) Auditor is responsible for reviewing medical claims to ensure compliance with Medicare, Medicaid, and other insurance regulations. They analyze billing data, identify improper payments, and recommend corrections to prevent fraud, waste, and abuse. This role is performed remotely, requiring strong knowledge of coding guidelines, healthcare regulations, and auditing procedures. Remote RAC Auditors typically collaborate with healthcare providers and payers to resolve discrepancies and ensure accurate reimbursements.

What does a remote RAC auditor do?

A typical day for a Remote RAC Auditor involves reviewing medical records and billing data to identify discrepancies or potential overpayments related to Medicare or Medicaid claims. You'll analyze documentation, prepare audit findings and reports, and communicate with healthcare providers to clarify any issues or request additional information. Most work is performed independently, but collaboration with audit teams, compliance officers, and sometimes legal or billing departments is common. Expect your day to be a mix of data analysis, documentation review, and written or virtual communication, all while managing multiple cases to meet strict deadlines.

What are the key skills and qualifications needed to thrive as a remote RAC auditor?

To thrive as a Remote RAC Auditor, you need a strong understanding of healthcare compliance, coding and billing practices, and knowledge of Medicare and Medicaid regulations, often supported by a degree in health information management or a related field. Proficiency with audit management software, electronic health records (EHR), and relevant certifications like Certified Coding Specialist (CCS) or Certified Professional Medical Auditor (CPMA) is typically required. Excellent analytical skills, attention to detail, and strong communication abilities are vital for collaborating with healthcare providers and delivering accurate audit results. These competencies are essential to ensure regulatory compliance, minimize financial risk, and maintain the integrity of healthcare reimbursement processes in a remote setting.

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Remote Rac Auditor jobs near you
Infographic showing various Remote Rac Auditor job openings in the United States as of August 2026, with employment types broken down into 84% Full Time, 8% Part Time, 3% Temporary, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $86,952 per year, or $41.8 per hour.

Medical Review Nurse - CMS/RAC Auditor, Government Audits

Remote

Machinify
Software Development • 11 - 50 employees
Learn more about Machinifyexternal

Full-time

Re-posted 6 days ago

Job description

The Medical Review Nurse - CMS / RAC (Government Audits) primarily performs medical claims audit reviews for government clients. As a MR Nurse, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government Payers.  You will work remotely in a fast paced and dynamic environment and be part of a multi-location team.
Please note: RAC certification is preferred for this role. The selected candidate may need to work toward RAC certification if they do not currently have it.

Key Responsibilities:

  • Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules.

  • Document all findings referencing the appropriate policies and rules.

  • Generate letters articulating audit findings.

  • Supporting your findings during the appeals process if requested.

  • Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse.

  • Work in partnership with our clients, CMD colleagues, and other contractors on improving medical policies, provider education, and system edits.

  • Keep abreast of medical practice, changes in technology, and regulatory issues that may affect our clients.

  • Work with the team to minimize the number of appeals; Suggest ideas that may improve audit workflows; Assist with QA functions and training team members.

  • Participate in establishing edit parameters, new issue packets and development of Medical Review Guidelines.

  • Interface with and support the Medical Director and cross train in all clinical departments/areas.

  • Other duties as required to meet business needs.

Knowledge, Skills and Abilities Needed:

  • Experience with utilization management systems or clinical decision-making tools such as Medical Coverage Guidelines (MCG) or InterQual.

  • Experience with and deep knowledge of ICD-9, ICD-10, CPT-4 or HCPCS coding.

  • Knowledge of insurance programs program, particularly the coverage and payment rules.

  • Ability to maintain high quality work while meeting strict deadlines.

  • Excellent written and verbal communication skills.

  • Ability to manage multiple tasks including desk audits and claims review.

  • Must be able to independently use standard office computer technology (e.g. email telephone, copier, etc.) and have experience using a case management system/tools to review and document findings.

  • Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload

  • Effectively work independently and as a team, in a remote setting.

Required and Preferred Qualifications:

  • Active unrestricted RN license in good standing, is required.

  • Must not be currently sanctioned or excluded from the Medicare program by the OIG.

  • Minimum of five (5) years diversified nursing experience providing direct care in an inpatient or outpatient setting.

  • One (1) or more years' experience performing medical records review.

  • One (1) or more years' experience in health care claims that demonstrates expertise in, ICD-9/ICD-10 coding, HCPS/CPT coding, DRG and medical billing experience for an Insurance Company or hospital required.

  • Strong preference for experience performing utilization review for an insurance company, Tricare, MAC, or organizations performing similar functions.

  • RAC certification preferred.

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