ZipRecruiter

Log In

1

Contractual Recovery Audit Contractor Jobs (NOW HIRING)

Solis Health Plans

Recovery Audit Analyst I

Miami, FL · On-site

$50K - $55K/yr

Track recovery outcomes and ensure vendor performance aligns with contractual expectations ... Support audit readiness by maintaining accurate and complete recovery documentation. * Escalate ...

Mosaic Life Care

Compliance Consultant

Saint Joseph, MO · On-site

Manages the process of investigation and response to issues identified by the Recovery Audit Contractor (RAC), Medicare Administrative Contractor MAC, Zone Program Integrity Contractor (Z-PIC) or ...

Jzanus Consulting

Nurse Auditor

Garden City, NY · On-site

$87K/yr

Additional Skill Set(s) Required: 1. Coordinates all procedural and other elements related to the Centers for Medicare & Medicaid Recovery Audit Contractor program, commercial payor audits, patient ...

next page

Showing results 1-20

All JobsContractual Recovery Audit Contractor Jobs

Contractual Recovery Audit Contractor information

See salary details

$12

$38

$143

How much do contractual recovery audit contractor jobs pay per hour?

As of May 29, 2026, the average hourly pay for contractual recovery audit contractor in the United States is $38.60, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.69 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Contractual Recovery Audit Contractor, and why are they important?

To thrive as a Contractual Recovery Audit Contractor, you need a solid understanding of healthcare billing, claims analysis, and compliance regulations, often supported by experience in auditing or healthcare finance. Familiarity with audit software, data analytics tools, and knowledge of CMS guidelines or similar regulatory frameworks is typically required. Strong analytical thinking, attention to detail, and effective communication are important soft skills for identifying discrepancies and collaborating with clients. These skills ensure accurate recoveries, minimize financial risk, and uphold compliance in complex healthcare environments.

What are some common challenges faced by Contractual Recovery Audit Contractors when working with complex healthcare claims?

Contractual Recovery Audit Contractors often encounter challenges such as deciphering intricate contract terms, handling large volumes of data, and staying current with frequently changing payer policies and regulations. Navigating discrepancies between contract stipulations and actual payments requires keen attention to detail and strong analytical skills. Additionally, effective collaboration with healthcare providers and payers is essential, as clear communication helps resolve disputes and recover funds efficiently. Adapting to varying documentation standards and ensuring audit accuracy are also key aspects of the role.

What are Contractual Recovery Audit Contractors?

Contractual Recovery Audit Contractors (RACs) are organizations hired, often by government agencies or private companies, to review and audit financial transactions or claims to identify and recover improper payments or overpayments. Their primary role is to ensure compliance with regulations and agreements by examining documentation, billing records, and contracts. By recovering funds that were incorrectly paid, RACs help organizations minimize financial losses and improve operational efficiency. These contractors may work in sectors such as healthcare, insurance, or government procurement.
What cities are hiring for Contractual Recovery Audit Contractor jobs? Cities with the most Contractual Recovery Audit Contractor job openings:
What are the most commonly searched types of Recovery Audit Contractor jobs? The most popular types of Recovery Audit Contractor jobs are:
What states have the most Contractual Recovery Audit Contractor jobs? States with the most job openings for Contractual Recovery Audit Contractor jobs include:
Contractual Recovery Audit Contractor jobs near you
Government Audit Recovery Specialist

Government Audit Recovery Specialist

TalentBurst, Inc.

Costa Mesa, CA

Contractor

Medical, Dental, Vision, Retirement

Posted 11 days ago

Job description

Title: Government Audit Recovery Specialist
Location: Costa Mesa, CA 92626
Duration: 3 Months
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.

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.

Required Education:
  • High school diploma or equivalent experience.

#TB_OTH
#ZR

Why TalentBurst?
At TalentBurst, we deliver more than talent, we deliver outcomes. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth.

Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships.

We offer competitive compensation and comprehensive benefits, including medical, dental, vision, and retirement options.

TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce.

Company Description

Founded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website www.talentburst.com or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CA
TalentBurst logo

About TalentBurst

Sourced by ZipRecruiter

TalentBurst is a leading provider of Information Technology and Engineering staffing solutions based in Natick, Massachusetts, US. An industry veteran with two decades of experience in their portfolio, the company's services range from IT consulting, life sciences, HR solutions, payroll services, and more. TalentBurst was founded with a mission to provide world-class, global staffing services to clients of all sizes. They strive to provide unmatched quality and service to their clients, which has earned them the reputation of being a highly respected and trusted staffing firm.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Natick, MA, US

Year founded

2002

Social media

FacebookTwitter

View All TalentBurst Jobs