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Medical Billing Specialist

Costa Mesa, CA · On-site

$25 - $30/hr

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 ...

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Senior Manager Coding IP OP

Additionally, it manages coding-related Recovery Audit Contractor (RAC) reviews, external coding audits, and coding-related denial responses to secure overall coding accuracy, compliance, and ...

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Denials Management Specialist

$18.50 - $24.50/hr

... Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Medicaid, managed care, and other payer or regulatory reviews. * Reviews medical records for completeness, accuracy, medical ...

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As of Aug 11, 2026, the average yearly pay for manager recovery audit contractor in the United States is $120,236.00, according to ZipRecruiter salary data. Most workers in this role earn between $104,000.00 and $136,500.00 per year, depending on experience, location, and employer.
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Manager Recovery Audit Contractor jobs near you

Government Audit Recovery Specialist

Integrated Resources, Inc

Costa Mesa, CA • On-site

$30/hr

Contractor

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Title: Government Audit Recovery Specialist
Job Location: Costa Mesa, CA, 92626
Job Duration: 03 Months Contract (possible extension)
Pat Rate: $30.00/hr on w2
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), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, MediCal regulatory auditing body for pre and post payment audits.
  • 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), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, MediCal 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.
  • 13 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), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, MediCal 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
  • 13 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).
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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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