The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms and Federal Acquisition Regulations (FAR). * Issue quarterly status reports on audit plan & budget ...
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms and Federal Acquisition Regulations (FAR). * Issue quarterly status reports on audit plan & budget ...
Dallas, TX · On-site
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms and Federal Acquisition Regulations (FAR). * Issue quarterly status reports on audit plan & budget ...
Dallas, TX · On-site
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms and Federal Acquisition Regulations (FAR). * Issue quarterly status reports on audit plan & budget ...
PR · On-site
$103K - $135K/yr
Our growing CPA and Advisory Firm is seeking an experienced Audit Manager (Independent Contractor) to join our Audit & Assurance Practice. This is an exceptional opportunity for a seasoned audit ...
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PR · On-site
$103K - $135K/yr
Our growing CPA and Advisory Firm is seeking an experienced Audit Manager (Independent Contractor) to join our Audit & Assurance Practice. This is an exceptional opportunity for a seasoned audit ...
Hattiesburg, MS · On-site
In this position, the employee will assist the Revenue Analyst with Procedure and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also ...
Hattiesburg, MS · On-site
In this position, the employee will assist the Revenue Analyst with Procedure and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also ...
Saint Paul, MN · On-site
$35.96 - $53.32/hr
Federal Audit Contract Coordinator Job Class: Human Services Program Consultant Agency: Human ... Ensure and enforce contractor compliance with state and federal regulatory and contractual ...
Saint Paul, MN · On-site
$35.96 - $53.32/hr
Federal Audit Contract Coordinator Job Class: Human Services Program Consultant Agency: Human ... Ensure and enforce contractor compliance with state and federal regulatory and contractual ...
Olympia, WA · Hybrid
$78K - $106K/yr
Description Compliance Coordinator (HCPM/DAIO) 71114379 The Compliance Coordinator (Health Care Program Manager) provides management of the Recovery Audit Contractor (RAC) program, along with other ...
Olympia, WA · Hybrid
$78K - $106K/yr
Description Compliance Coordinator (HCPM/DAIO) 71114379 The Compliance Coordinator (Health Care Program Manager) provides management of the Recovery Audit Contractor (RAC) program, along with other ...
Saint Paul, MN · On-site
$104K - $125K/yr
Audit contractor PJBs/JSAs and conduct quality observations (daily). Requirements of the Safety Consultant: 7+ years of solar safety construction experience. Safety certifications CUSP or OSHT/CSHT ...
Saint Paul, MN · On-site
$104K - $125K/yr
Audit contractor PJBs/JSAs and conduct quality observations (daily). Requirements of the Safety Consultant: 7+ years of solar safety construction experience. Safety certifications CUSP or OSHT/CSHT ...
Olympia, WA · On-site +1
$78K - $106K/yr
The HCPM position will report directly to the Program Integrity Liaison and will provide centralized management, coordination and facilitation of the Recovery Audit Contractor (RAC) program and ...
Olympia, WA · On-site +1
$78K - $106K/yr
The HCPM position will report directly to the Program Integrity Liaison and will provide centralized management, coordination and facilitation of the Recovery Audit Contractor (RAC) program and ...
Support audit contractor and EHS policies and standards. * Develop and implement Safety programs. * Comply with environmental management system for manufacturing facility. * Generate and maintain ...
Support audit contractor and EHS policies and standards. * Develop and implement Safety programs. * Comply with environmental management system for manufacturing facility. * Generate and maintain ...
Baltimore, MD · Hybrid
$103K - $135K/yr
The Audit Manager will oversee engagements across industries, including nonprofits, government contractors, manufacturers, long-term care providers (nursing homes, assisted living facilities, and ...
Baltimore, MD · Hybrid
$103K - $135K/yr
The Audit Manager will oversee engagements across industries, including nonprofits, government contractors, manufacturers, long-term care providers (nursing homes, assisted living facilities, and ...
Rochester, NY · On-site +1
$19.75 - $24.50/hr
The Denial Management Coordinator oversees the coordination and tracking of Rochester Regional Health responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC ...
Rochester, NY · On-site +1
$19.75 - $24.50/hr
The Denial Management Coordinator oversees the coordination and tracking of Rochester Regional Health responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC ...
Eden Prairie, MN · Hybrid
$112K - $193K/yr
This includes assisting staff members and audit contractors in the development and negotiation of audit recommendations and responses, evaluating the performance of the audit team, and providing ...
Eden Prairie, MN · Hybrid
$112K - $193K/yr
This includes assisting staff members and audit contractors in the development and negotiation of audit recommendations and responses, evaluating the performance of the audit team, and providing ...
Eden Prairie, MN · On-site
$112K - $193K/yr
This includes assisting staff members and audit contractors in the development and negotiation of audit recommendations and responses, evaluating the performance of the audit team, and providing ...
Eden Prairie, MN · On-site
$112K - $193K/yr
This includes assisting staff members and audit contractors in the development and negotiation of audit recommendations and responses, evaluating the performance of the audit team, and providing ...
Support the Contractor Safety Audit Program through the coordination of contractor safety audits and evaluations of contractors. Specialist will schedule, audit contractors' safety programs, conduct ...
Support the Contractor Safety Audit Program through the coordination of contractor safety audits and evaluations of contractors. Specialist will schedule, audit contractors' safety programs, conduct ...
Support the Contractor Safety Audit Program through the coordination of contractor safety audits and evaluations of contractors. Specialist will schedule, audit contractors' safety programs, conduct ...
Support the Contractor Safety Audit Program through the coordination of contractor safety audits and evaluations of contractors. Specialist will schedule, audit contractors' safety programs, conduct ...
Support the Contractor Safety Audit Program through the coordination of contractor safety audits and evaluations of contractors. Specialist will schedule, audit contractors' safety programs, conduct ...
Support the Contractor Safety Audit Program through the coordination of contractor safety audits and evaluations of contractors. Specialist will schedule, audit contractors' safety programs, conduct ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management ...
Norfolk, VA · On-site
Posting Details Posting Details Job Title AUDIT DIRECTOR Department UNIVERSITY AUDIT DEPARTMENT ... Pay Transparency Nondiscrimination Provision The contractor will not discharge or in any other ...
Norfolk, VA · On-site
Posting Details Posting Details Job Title AUDIT DIRECTOR Department UNIVERSITY AUDIT DEPARTMENT ... Pay Transparency Nondiscrimination Provision The contractor will not discharge or in any other ...
$89K - $110K/yr
Recovery Audit Contractor (RAC) * Zone Program Integrity Contractor (ZPIC) * Health Care Fraud Prevention and Enforcement Action Team (HEAT) * Ensure timely and accurate response to external audit ...
$89K - $110K/yr
Recovery Audit Contractor (RAC) * Zone Program Integrity Contractor (ZPIC) * Health Care Fraud Prevention and Enforcement Action Team (HEAT) * Ensure timely and accurate response to external audit ...
$61K - $69.8K
0% of jobs
$69.8K - $78.5K
2% of jobs
$78.5K - $87.3K
4% of jobs
$87.3K - $96.1K
7% of jobs
$104.7K is the 25th percentile. Wages below this are outliers.
$96.1K - $104.9K
12% of jobs
$104.9K - $113.6K
14% of jobs
The median wage is $119.8K / yr.
$113.6K - $122.4K
16% of jobs
$122.4K - $131.2K
16% of jobs
$133.8K is the 75th percentile. Wages above this are outliers.
$131.2K - $140K
15% of jobs
$140K - $148.7K
8% of jobs
$148.7K - $157.5K
6% of jobs
$61K
$120.2K
$157.5K
| Aspect | Audit Contractor |
|---|
| Required Credentials | Typically CPA, CIA, or relevant certifications |
|---|---|
| Work Environment | Contract-based, often project-specific, working with multiple clients |
| Employer & Industry Usage | Hired by firms or organizations for specific audits, common in consulting and external audit firms |
| Search & Comparison Intent | Understanding external vs internal audit roles, contract vs permanent positions |
Audit Contractors are hired on a temporary basis to perform specific audit tasks, often for multiple clients, and usually hold relevant certifications like CPA or CIA. Internal Auditors are employed full-time within an organization to continuously monitor and improve internal controls. While both roles require similar credentials, their work environments and employment types differ significantly, with Audit Contractors focusing on external, project-based work and Internal Auditors on ongoing internal processes.

Full-time
Posted 3 hours ago
Be an early applicant
Position Summary:
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed. This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.
Skills:
Required Skills & Experience:
3 years of Medicare billing experience in billing, follow up, in an acute care setting.
Experience working on complex projects.
1-3 years of experience in healthcare acute setting regulatory audits and appeals.
Experience with and understanding of CMS billing, payment and reimbursement methodologies.
Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations.
Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred Skills & Experience:
5 years of experience or more in an acute setting.
3 years of experience in healthcare acute setting regulatory audits and appeals.
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
5 years of experience in Medicare billing, follow up, appeals.
Knowledge of utilization management process, coding, medical necessity criteria.
3 years of Medicare billing experience in billing, follow up, in an acute care setting
Experience working on complex projects
1-3 years of experience in healthcare acute setting regulatory audits and appeals
Experience with and understanding of CMS billing, payment and reimbursement methodologies
Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations
Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred:
5 years of experience or more in an acute setting
3 years of experience in healthcare acute setting regulatory audits and appeals
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits
5 years of experience in Medicare billing, follow up, appeals
Knowledge of utilization management process, coding, medical necessity criteria
Education:
Required Education:
High school diploma or equivalent experience.
Required Certifications & Licensure:
High school diploma or equivalent experience
Languages:
English
Schedule Notes:
Is this position Remote No Work Location Address: 2995 Red Hill Ave Costa Mesa CA LOA Coverage
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We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.
Recruiting and staffing services
501 - 1,000 Employees
Plainfield, IL, US
2012