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Temporary Medicare Rac Audit Jobs in Texas (NOW HIRING)

Hanger Clinic

Clinical Resident

Austin, TX · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... education, RAC audit resources, and back office support at one of our more than 700 clinics ... Adhere to all safety regulations; compliance with Medicare, HIPAA and other governmental ...

Hanger, Inc.

Clinical Resident

Austin, TX

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... education, RAC audit resources, and back office support at one of our more than 700 clinics ... Adhere to all safety regulations; compliance with Medicare, HIPAA and other governmental ...

Hanger

Clinical Resident

Austin, TX · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... education, RAC audit resources, and back office support at one of our more than 700 clinics ... Adhere to all safety regulations; compliance with Medicare, HIPAA and other governmental ...

Hanger, Inc.

Clinical Resident

Austin, TX · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... education, RAC audit resources, and back office support at one of our more than 700 clinics ... Adhere to all safety regulations; compliance with Medicare, HIPAA and other governmental ...

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

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 Texas?

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

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

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

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

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

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

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

Temporary Medicare Rac Audit jobs near you

Project Mgr. RAC

University Medical Center of El Paso

El Paso, TX • On-site

Full-time

Re-posted 3 days ago

University Medical Center Of El Paso rating

6.7

Company rating: 6.7 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

639th of 1,060 rated hospitals

Job description

Job Summary

The RAC Project Manager performs activities related to the coordination and management of the Medicare RAC Program involving audit defense and claims appeals.  Works closely with Case Management staff for determination of medical necessity status. Monitors processes and implements procedures as needed to ensure compliance with federal guidelines involving reimbursement for services performed. Acts as a resource to provide board level reports of program status related to job related functions.

Minimum Job Requirements

Work Experience:

Three years of experience in healthcare project or program management required. Experience in case management, coding, auditing, healthcare fraud investigation, and clinical documentation preferred.

License/Registration/Certification

RN License preferred;

Certified Case Manager (CCM), Certified Professional Medical Auditor (CPMA), or Certified Medical Audit Specialist (CMAS) preferred.

Education/Training

Bachelor’s degree required; preferably in Business, Medical Records Technology, Health Services Administration, Nursing or related field.  Master’s degree preferred.

           

Skills

  1. Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements.
  2. Knowledge base in medical terminology, healthcare coding processes including CPT4, HCPCS, ICD-9
  3. Knowledge of Medicaid and Medicare, HIPAA, TJC regulations, and healthcare laws and regulations.
  4. Knowledge and ability to interpret government regulations, medical documentation,
  5. Knowledge and ability to identify fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines.
  6. Knowledge and ability to apply strong analytical skills, data management and operational process, and computer skills involved in the preparation of reports and presentations.
  7. Knowledge of complexities of an Academic Medical Center.  Involves others appropriately in consultations and decisions. 
  8. Ability to operate successfully in a constantly changing, fast-paced environment. 
  9. Ability to apply clinical expertise to review and audit medical records.
  10. Ability to apply excellent interpersonal communication and negotiation skills.
  11. Ability to apply written and oral communication skills.  
  12. Ability to work with people of all social, economic, and cultural backgrounds. Exemplifies an approachable style that elicits open communication with Associates, Management staff, and Physicians. Strong interpersonal skills demonstrating the ability to listen effectively.
  13. Ability to be flexible, open-minded and adaptable to change.
  14. Ability to apply strong organizational and time management skills to multi-task in a fast paced environment and prioritize tasks and role components.
  15. Ability to and coordinate with different departments and entities simultaneously in order to carry out auditing function to meet deadlines and goals.
  16. Ability to work independently and exercise sound judgment in interactions with members of the workforce, contracted vendors, and patients/families. Ability to maintain a high degree of credibility, independence, integrity, confidentiality and trust required.
  17. Ability to develop partnerships, teamwork and good working relationships and maintain an open, participative communication style.
  18. Bilingual English/Spanish preferred, culturally sensitive.

What University Medical Center Of El Paso employees say

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