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 ...
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 ...
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 ...
Houston, TX · On-site
$17.75 - $22.50/hr
Medicare/Medicaid collections Recovery Audit Contractor (RAC) processes Insurance claims processing Healthcare billing systems and collections software Technical Skills Strong understanding of: CMS ...
Houston, TX · On-site
$17.75 - $22.50/hr
Medicare/Medicaid collections Recovery Audit Contractor (RAC) processes Insurance claims processing Healthcare billing systems and collections software Technical Skills Strong understanding of: CMS ...
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 ...
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 ...
Saint Paul, MN · On-site
$35.96 - $53.32/hr
This position will direct and coordinate federally mandated contractors, such as the Recovery Audit Contractor (RAC), the Unified Program Integrity Contractor (UPIC), and other contractors engaged by ...
Saint Paul, MN · On-site
$35.96 - $53.32/hr
This position will direct and coordinate federally mandated contractors, such as the Recovery Audit Contractor (RAC), the Unified Program Integrity Contractor (UPIC), and other contractors engaged by ...
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 ...
Bronx, NY · On-site
$89K - $110K/yr
Recovery Audit Contractor (RAC) * Zone Program Integrity Contractor (ZPIC) * Health Care Fraud ... Executive Compliance Committee and the Board of Trustees. * Ensuring transparency of findings and ...
Bronx, NY · On-site
$89K - $110K/yr
Recovery Audit Contractor (RAC) * Zone Program Integrity Contractor (ZPIC) * Health Care Fraud ... Executive Compliance Committee and the Board of Trustees. * Ensuring transparency of findings and ...
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 ...
Saint Augustine, FL · Remote
$15.50 - $20/hr
... VA Recovery Audit Contractor (RAC) Program. This position serves as a liaison between healthcare providers, internal staff, and program stakeholders to ensure timely and accurate collection of ...
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Saint Augustine, FL · Remote
$15.50 - $20/hr
... VA Recovery Audit Contractor (RAC) Program. This position serves as a liaison between healthcare providers, internal staff, and program stakeholders to ensure timely and accurate collection of ...
Starkville, MS · On-site
Nurse Auditor will be responsible for facility's communication and interactions with CMS, Recovery Audit Contractors (RAC) and other third party auditors. Nurse Auditor will document information and ...
Starkville, MS · On-site
Nurse Auditor will be responsible for facility's communication and interactions with CMS, Recovery Audit Contractors (RAC) and other third party auditors. Nurse Auditor will document information and ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... Member of the Lee Health Medical Executive Committee. Education * Maintain knowledge of current ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... Member of the Lee Health Medical Executive Committee. Education * Maintain knowledge of current ...
... Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). • In ... Member of the Lee Health Medical Executive Committee. Education * Maintain knowledge of current ...
... Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). • In ... Member of the Lee Health Medical Executive Committee. Education * Maintain knowledge of current ...
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 ...
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 ...
Lake Charles, LA · On-site
$17 - $21.50/hr
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Lake Charles, LA · On-site
$17 - $21.50/hr
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
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 ...
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 ...
Texarkana, TX · On-site
$17.25 - $21.75/hr
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Texarkana, TX · On-site
$17.25 - $21.75/hr
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Starkville, MS · On-site
Nurse Auditor will be responsible for facility's communication and interactions with CMS, Recovery Audit Contractors (RAC) and other third party auditors. Nurse Auditor will document information and ...
Starkville, MS · On-site
Nurse Auditor will be responsible for facility's communication and interactions with CMS, Recovery Audit Contractors (RAC) and other third party auditors. Nurse Auditor will document information and ...
... Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client ... Confident and able to present complex information to front-line, mid-level, and executive staff.
... Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client ... Confident and able to present complex information to front-line, mid-level, and executive staff.
$26.5K - $40.8K
11% of jobs
$40.8K - $55.1K
12% of jobs
$56.8K is the 25th percentile. Wages below this are outliers.
$55.1K - $69.5K
22% of jobs
The median wage is $77.4K / yr.
$69.5K - $83.8K
10% of jobs
$83.8K - $98.1K
9% of jobs
$98.1K - $112.4K
11% of jobs
$114.6K is the 75th percentile. Wages above this are outliers.
$112.4K - $126.7K
11% of jobs
$126.7K - $141K
4% of jobs
$141K - $155.4K
11% of jobs
$155.4K - $169.7K
0% of jobs
$169.7K - $184K
1% of jobs
$26.5K
$93.6K
$184K
| Aspect | Executive Recovery Audit Contractor | Recovery Auditor |
|---|---|---|
| Credentials | Typically requires CPA, CPA, or related certifications | Often requires CPA or related certifications |
| Work Environment | Contract-based, consulting firms, government agencies | Contractor roles within healthcare or government sectors |
| Employer & Industry | Consulting firms, government agencies, healthcare organizations | Healthcare providers, government agencies, insurance companies |
The main difference is that Executive Recovery Audit Contractors often hold senior consulting roles with broader responsibilities, while Recovery Auditors focus on specific audit tasks within healthcare or government sectors. Both roles require similar certifications and work environments, but their scope and level of responsibility differ.
Full-time
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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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Recruiting and staffing services
501 - 1,000 Employees
Plainfield, IL, US
2012