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Temporary Medicare Rac Audit Jobs in Florida (NOW HIRING)

TEKsystems

Remote Pro Fee Medical Coder

Miami, FL · Remote

$25 - $30/hr

Ensure compliance with CMS, Medicare, Medicaid, commercial payer, and client-specific coding ... Participate in coding audits, quality reviews, education sessions, and process improvement ...

New

TEKsystems

Remote Pro Fee Medical Coder

Jacksonville, FL · Remote

$25 - $30/hr

Ensure compliance with CMS, Medicare, Medicaid, commercial payer, and client-specific coding ... Participate in coding audits, quality reviews, education sessions, and process improvement ...

New

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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

Quality and Accreditation Specialist

ttg Talent Solutions

Doral, FL • On-site

$25 - $30/hr

Full-time

Posted 7 days ago

Key responsibilities

  • Support quality improvement, regulatory compliance, and accreditation activities within a healthcare environment.

  • Coordinate quality programs, monitor performance measures, and maintain documentation for accreditation surveys.

  • Collect, analyze, and interpret data related to claims, authorizations, grievances, and quality metrics to support organizational decision-making.

Job description

Quality and Accreditation Coordinator
 
LOCATION: Doral, FL
SCHEDULE : Monday-Friday, 40 hours per week. Schedule may vary based on business needs, including weekends, holidays, and overtime as needed.
TYPE OF CONTRACT: Temp to perm 
PAY RATE : $25.00-$30.00 per hour
 
Description:
ttg Talent Solutions is seeking a detail-oriented Quality and Accreditation Coordinator to support quality improvement, regulatory compliance, and accreditation activities within a highly regulated healthcare environment.
This position works closely with quality leadership to coordinate quality programs, monitor performance measures, maintain required documentation, and support health plan accreditation activities. The role also collaborates with internal departments to help maintain compliance with applicable federal, state, CMS, and NCQA health plan accreditation requirements.
 
The ideal candidate brings managed care or health plan experience, strong analytical abilities, excellent attention to detail, and the ability to translate data into meaningful information that supports quality improvement and organizational decision-making.
 
Key responsibilities include:
  • Review and analyze data involving claims, authorizations, grievances, appeals, case management, network adequacy, membership composition, and other quality-related areas.
  • Assist with Quality-of-Care (QOC) investigations, Quality Improvement Committee (QIC) preparation, monitoring, and auditing activities.
  • Support the preparation and organization of evidence files and required documentation for NCQA health plan accreditation surveys.
  • Collect reports used to measure and benchmark performance against NCQA, CMS, and internal business objectives.
  • Help ensure data and quality reporting are accurate, reliable, complete, and delivered in a timely manner.
  • Collect performance indicator reports and benchmarking narratives for leadership review and performance improvement recommendations.
  • Monitor quality performance, outcomes, and metrics to help identify opportunities for targeted process improvement initiatives.
  • Prepare summaries and interpretations of reports and follow up on assigned action items related to projects, meetings, and committees.
  • Assist with accreditation- and quality-related education for staff as needed.
  • Support problem analysis associated with strategic planning initiatives.
  • Identify and help resolve data integrity issues while monitoring the addition of new data, analytics, and reporting systems.
  • Assist with interpreting and translating data into meaningful information for senior management, supporting informed decision-making and strategic planning.
  • Assist with internal and external audits, including the preparation and organization of audit responses.
  • Collect and maintain supporting documentation for Quality-of-Care concern investigations.
  • Support departmental and organizational quality and performance objectives.
  • Perform other related duties as requested, directed, or assigned.
REQUIREMENTS:
  • High school diploma required; Associate's degree in Healthcare Administration, Nursing, or a related field preferred.
  • Relevant professional experience may substitute for the educational requirement on a year-for-year basis.
  • 2+ years of experience in managed care, Medicare, Medicaid, or a health plan environment.
  • Bilingual proficiency in English and Spanish.
  • Experience working with NCQA health plan accreditation standards.
  • Knowledge of applicable federal regulations and healthcare industry standards.
  • Strong analytical and problem-solving skills.
  • Excellent written and verbal communication and documentation abilities.
  • Strong attention to detail, particularly regarding data accuracy and integrity.
  • Proficiency with Microsoft applications.
  • Expert-level Microsoft Excel knowledge.
 
At ttg, "We believe in making a difference One Person at a Time," ttg OPT.
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