Top 50 Rac Coder I Jobs

Interim Payer Reimbursement Analyst/Coder- Arizona
American Consultants —Arizona
- From $2,600 a week
- Full-time
- Mid-level
- 3 years
- Finance
Quick Apply
Medical Records - Coder I - Full Time - Days
Mohawk Valley Health System —Utica, NY
- $22.50 - $28.00 an hour
- Full-time
- Bachelor of Science
- Mid-level
- Bachelor's degree
MDS Coordinator
Confidential —Las Vegas, NV
- $80,000 - $90,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
9d
DRG Validator- Remote
Jzanus Consulting —Remote
- From $80,000 a year
- 8 hour shift
- Remote
- Microsoft Word
- Anatomy knowledge
- Microsoft Excel
- Health insurance
- Dental insurance
Managed Care Appeals Analyst
Elevate Patient Financial Solutions —Remote
- $24 - $30 an hour
- Full-time
- Remote
- Microsoft Word
- Surgery
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Inpatient Coder 1
Jackson Health —Miami, FL
- Full-time
- Hospital
- HIPAA
- High school diploma or GED
Quick Apply
Inpatient CODER II
Mohawk Valley Health Systems —Utica, NY
- $23 - $35 an hour
- Part-time
- Bachelor of Science
- Mid-level
- Bachelor's degree
Professional Coding Auditor-Educator
SYSTEM West Virginia University Health System —Remote
- Full-time
- Anatomy knowledge
- 5 years
- Office
DRG Coder
Astrana Health, Inc. —Remote
- $33 - $38 an hour
- Email
- Nursing
- HIPAA
- Analysis skills
Quick Apply
6d
Director, Revenue Cycle Management
Medvidi —Remote
- Contract
- 7 years
- System design
- HIPAA
Quick Apply
Coding Auditor
ThedaCare —Appleton, WI
- Part-time
- Hospital
- Urgent Care
- Mid-level
Ambulatory Coding Auditor Educator
Southwell, Inc. —Tifton, GA
- Full-time
- HIPAA
- Clinic experience
- Research
Compliance Analyst I - Third Party Risk Management
UNC Health —Morrisville, NC
- $31.04 - $44.62 an hour
- Full-time
- Hybrid work
- Nursing
- Mentoring
- Business Administration
Quality Officer III
RWJBarnabas Health Corporate Services —Oceanport, NJ
- $83,156 - $117,458 a year
- Full-time
- Remote
- Anatomy knowledge
- Research
- High school diploma or GED
- Disability insurance
- Health insurance
Manager, Denials Operations
Healthrise —Remote
- Extended hours
- Hybrid work
- Oracle
- 5 years
- SQL
Quick Apply
4d
Medical Review Nurse - CMS RAC (Government audits)
Performant Financial Corporation —Plantation, FL
- $81,000 - $90,000 a year
- Full-time
- Remote
- RN License
- Computer literacy
- Writing skills
- Health savings account
- Paid holidays
Compliance Auditor
SouthEast Alaska Regional Health Consortium —Renton, WA
- $47.69 - $67.19 an hour
- Full-time
- Anatomy knowledge
- Writing skills
- HIPAA
- Paid parental leave
- Disability insurance
Quick Apply
Compliance Analyst III - Third Party Risk Management
UNC Health —Morrisville, NC
- $35.87 - $51.57 an hour
- Full-time
- Hybrid work
- Nursing
- Bachelor's degree
- Mentoring
Coding Integrity Specialist - Boynton Beach, Florida
NYU Langone Health —Boynton Beach, FL
- Microsoft Excel
- 6 years
- Research
- Wellness program
HCS Compliance Analyst II - Hospital Compliance
UNC Health —Morrisville, NC
- $31.04 - $44.62 an hour
- Full-time
- Hybrid work
- Nursing
- Hospital
- Mid-level
10d

I want to receive the latest job alert for Rac Coder I

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Interim Payer Reimbursement Analyst/Coder- Arizona

American Consultants -
Arizona

Quick Apply

Job Details

Full-time | Contract
From $2,600 a week

Qualifications

Teamwork
Medicare
Medical coding
Medical coding in outpatient clinics
Certified Professional Coder
Bachelor's degree

Full Job Description

Interim Payer Reimbursement Variance Analyst/Coder- Arizona

American Consultants is looking for an interim Payer Reimbursement Variance Analyst/Coder. Must have inpatient and outpatient coding experience (CIC/CPC certification). Experience working in critical access hospital, FQHC, or IHS space is a plus.

POSITION SUMMARY

The Payer Reimbursement Variance Analyst is responsible for safeguarding the organization’s financial integrity by identifying, analyzing, and resolving reimbursement variances, including overpayments and underpayments, across hospital and outpatient services. This role partners closely with Revenue Cycle, Compliance, Coding, and Finance to ensure payments are accurate, contractually aligned, and compliant with applicable regulations. A key focus includes adherence to Medicare requirements, ensuring timely identification and resolution of overpayments in accordance with CMS and MAC guidelines.

KEY RESPONSIBILITIES

Audit & Variance Identification

· Review paid claims to identify overpayments, underpayments, and duplicate payments across Medicare, Medicaid, Workers’ Compensation, and commercial payers.

· Analyze remittance data (835s), EOBs, and payment trends to identify discrepancies.

· Validate payments against contracts, fee schedules, DRG/APC methodologies, and applicable reimbursement structures.

Medicare Overpayment Compliance

· Identify and validate potential Medicare overpayments in alignment with CMS guidelines.

· Ensure compliance with the CMS 60-Day Overpayment Rule, including proper documentation of identification timelines.

· Coordinate timely refunds and adjustments in accordance with federal requirements.

· Maintain clear and defensible documentation to support audits and regulatory reviews.

· Work closely with Compliance on appropriate escalation and reporting processes.

Root Cause Analysis & Process Improvement

· Investigate underlying causes of variances, including coding, billing, or system-related issues

· Partner with operational teams to implement corrective actions and prevent repeat issues

· Track and trend recurring findings to support long-term improvement efforts

Financial Coordination & Reporting

· Quantify financial impact of findings, including recoverable amounts and risk exposure

· Support Finance with accurate reporting of overpayment liabilities and recoveries

· Prepare clear, concise reports for leadership outlining trends and opportunities

Collaboration & Audit Support

· Work closely with Coding, Billing, Compliance, and Revenue Integrity teams

· Support internal and external audits, including RAC, MAC, and other regulatory reviews

· Contribute to staff education efforts focused on improving billing accuracy and compliance

QUALIFICATIONS

Education

· Bachelor’s degree in Healthcare Administration, Finance, Accounting, or related field (or equivalent experience will be considered)

EXPERIENCE

· 3–6 years of experience in healthcare revenue cycle, auditing, or reimbursement analysis

· Experience with hospital and outpatient billing strongly preferred

· Familiarity with Medicare, Medicaid, and commercial payer requirements

· Experience with EHR/RCM systems such as Allscripts/Altera Sunrise, Epic, or Cerner preferred

Certifications (Preferred)

· CPC, CCS, CHC, or CRCR

Knowledge, Skills, and Abilities

· Solid understanding of revenue cycle workflows and reimbursement processes

· Working knowledge of CMS regulations, including the 60-Day Overpayment Rule

· Ability to interpret payer contracts and apply reimbursement logic

· Strong analytical and problem-solving skills

· Proficiency in Excel and data analysis tools

· High attention to detail and ability to manage sensitive financial data

Pay: From $2,600.00 per week

Work Location: On the road

Quick Apply

Refine Your Search

Rac Coder I jobs

Interim Payer Reimbursement Analyst/Coder- Arizona

Medical Records - Coder I - Full Time - Days

MDS Coordinator

DRG Validator- Remote

Managed Care Appeals Analyst

Inpatient Coder 1

Inpatient CODER II

Professional Coding Auditor-Educator

DRG Coder

Director, Revenue Cycle Management

Coding Auditor

Ambulatory Coding Auditor Educator

Compliance Analyst I - Third Party Risk Management

Quality Officer III

Manager, Denials Operations

Medical Review Nurse - CMS RAC (Government audits)

Compliance Auditor

Compliance Analyst III - Third Party Risk Management

Coding Integrity Specialist - Boynton Beach, Florida

HCS Compliance Analyst II - Hospital Compliance

I want to receive the latest job alert for Rac Coder I

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected