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Temporary Medicare Rac Audit Jobs in Florida (NOW HIRING)

Baptist Health Care

Hospital Coding Auditor

Pensacola, FL · On-site

$24 - $27.25/hr

This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...

Baptist Health Care

Hospital Coding Auditor

Pensacola, FL · On-site

$25.75 - $29.25/hr

This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...

Baptist Health Care

Hospital Coding Auditor

Pensacola, FL · On-site

$25.75 - $29.25/hr

This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...

Baptist Health Care

Hospital Coding Auditor

Pensacola, FL · On-site

$25.75 - $29.25/hr

This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...

Baptist Health Care

Hospital Coding Auditor

Pensacola, FL · On-site

$24 - $27.25/hr

This position may audit accounts for ER Charging accuracy and perform RAC and other third party ... Experience in regulatory issues related to Medicare, and other third party payers as it relates to ...

Westside Oaks

MDS Coordinator (RN)

Jacksonville, FL · On-site

$32 - $38.50/hr

Monitor and document the management of the Medicare and Managed Care residents in collaboration ... RAC-CT or RNAC preferred. COVID-19 vaccination is a requirement of employment. Accommodation ...

Jupiter Medical Center

HIM Specialist Part Time

Jupiter, FL · On-site

$97K - $97K/yr

... Medicare & Medicaid Services (CMS). Education * Associate or bachelor's degree, 2 plus years ... Knowledge of ADRs, post payment audits and appeals processes, requirements and guidelines

TEKsystems

HCC Coder - Fully Remote

Jacksonville, FL · Remote

$32 - $37/hr

... and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory ... If eligible, the benefits available for this temporary role may include the following: • Medical ...

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All JobsMedicare Rac Audit JobsTemporary Medicare Rac Audit JobsTemporary Medicare Rac Audit Jobs in Florida

Temporary Medicare Rac Audit information

What is a temporary Medicare RAC audit?

Temporary Medicare RAC (Recovery Audit Contractor) Auditors are professionals hired on a short-term basis to review Medicare claims and identify instances of overpayments, underpayments, and billing errors. They analyze medical records and billing data to ensure compliance with Medicare regulations. These auditors help recover funds for the Medicare program and may work for government agencies or private firms contracted by the Centers for Medicare & Medicaid Services (CMS). Their work is crucial for reducing improper payments and improving the integrity of the Medicare system.

What does a temporary Medicare RAC audit professional do?

In a Temporary Medicare RAC (Recovery Audit Contractor) Audit role, your primary responsibilities include reviewing medical records, identifying improper Medicare payments, and preparing reports on audit findings. One common challenge is staying current with frequently updated Medicare regulations and ensuring compliance throughout the audit process. The role often involves working both independently and collaboratively with billing, coding, and compliance teams to resolve discrepancies and clarify documentation. Success in this position requires strong analytical skills and meticulous attention to detail, as well as effective communication with healthcare providers to explain audit outcomes and recommendations.

What skills and qualifications are needed for a temporary Medicare RAC audit professional?

To thrive as a Temporary Medicare RAC Audit professional, you need a solid background in healthcare compliance, medical coding, and a strong understanding of Medicare regulations, often supported by credentials like RHIA, RHIT, or CPC. Familiarity with audit management software, electronic health records (EHRs), and Medicare claims processing systems is typically required. Analytical thinking, attention to detail, and effective written communication are essential soft skills for reviewing records and reporting findings. These competencies ensure accurate claim evaluations, regulatory compliance, and effective collaboration with healthcare organizations during audit processes.

What is the difference between Temporary Medicare Rac Audit vs Medicare Billing Specialist?

AspectTemporary Medicare Rac AuditMedicare Billing Specialist
CredentialsKnowledge of RAC processes, compliance standardsMedical billing certifications, coding knowledge
Work EnvironmentAuditing firms, healthcare compliance departmentsHospitals, clinics, billing companies
Industry UsageFocuses on audit and compliance reviewsHandles billing, coding, and claims processing

While both roles involve healthcare finance, a Temporary Medicare RAC Audit focuses on reviewing and ensuring compliance with Medicare audit standards, whereas a Medicare Billing Specialist manages billing and coding processes to submit claims. The audit role emphasizes compliance and audit procedures, while the billing specialist concentrates on accurate claim submission and reimbursement.

What are the most commonly searched types of Medicare Rac Audit jobs in Florida?

The most popular types of Medicare Rac Audit jobs in Florida are:

What are popular job titles related to Temporary Medicare Rac Audit jobs in Florida?

For Temporary Medicare Rac Audit jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Temporary Medicare Rac Audit jobs in Florida look for?

The top searched job categories for Temporary Medicare Rac Audit jobs in Florida are:

What cities in Florida are hiring for Temporary Medicare Rac Audit jobs?

Cities in Florida with the most Temporary Medicare Rac Audit job openings:

Temporary Medicare Rac Audit jobs near you

Director, Post Pay Audit

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted 5 days ago

Job description

Job Summary:

We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This leader will be responsible for overseeing the execution of comprehensive post-payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.), ensuring compliance, accuracy, and maximum revenue recovery for healthcare provider clients.

The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale.

Key Responsibilities:

  • Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.
  • Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across both U.S.-based and Philippines-based operations.
  • Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC, Medicaid Integrity Program, etc.).
  • Establish and refine audit workflows, KPIs, and escalation protocols to optimize audit yield and recovery timelines.
  • Collaborate with compliance, legal, and analytics teams to identify audit opportunities and mitigate risk.
  • Serve as the subject matter expert for payer audit guidelines, CMS regulations, and state-specific requirements.
  • Build strong relationships with internal stakeholders and clients to align audit strategies with broader revenue recovery goals.
  • Develop and execute training programs and professional development plans for onshore and offshore audit staff.
  • Ensure adherence to internal quality standards, HIPAA regulations, and client-specific SLAs.
  • Analyze audit outcomes and present regular performance and risk reports to senior leadership.

Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s or MBA preferred
  • Minimum of 7–10 years of experience in post-payment auditing, healthcare reimbursement, or revenue recovery
  • Proven experience managing global teams, including operations based in the Philippines
  • Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
  • Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
  • Demonstrated ability to lead process improvement initiatives in large-scale audit operations
  • High proficiency with audit and recovery systems, reporting tools, and workflow platforms
  • Strong communication, leadership, and analytical skills
  • Certification in auditing, billing, or compliance (e.g., CPMA, CPC, CHC) is a plus

Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.

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