... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractor (RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate ...
... Recovery Audit Contractor (RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate ...
... Recovery Audit Contractor (RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate ...
... Recovery Audit Contractor (RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate ...
... Recovery Audit Contractor (RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate ...
... Recovery Audit Contractor (RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate ...
... Recovery Audit Contractor (RAC), Unified Program Integrity Contractor (UPIC), Medicare Administrative Contractor (MAC), Medicaid, commercial payer, and other regulatory audits. What We're Looking For ...
... Recovery Audit Contractor (RAC), Unified Program Integrity Contractor (UPIC), Medicare Administrative Contractor (MAC), Medicaid, commercial payer, and other regulatory audits. What We're Looking For ...
Respond to requests from the Recovery Audit Contractor (RAC) for patient records and appeal denials as needed. 6. Miscellaneous Duties (5%) a. Performs miscellaneous duties as deemed appropriate, and ...
Respond to requests from the Recovery Audit Contractor (RAC) for patient records and appeal denials as needed. 6. Miscellaneous Duties (5%) a. Performs miscellaneous duties as deemed appropriate, and ...
Respond to requests from the Recovery Audit Contractor (RAC) for patient records and appeal denials as needed. 6. Miscellaneous Duties (5%) a. Performs miscellaneous duties as deemed appropriate, and ...
Respond to requests from the Recovery Audit Contractor (RAC) for patient records and appeal denials as needed. 6. Miscellaneous Duties (5%) a. Performs miscellaneous duties as deemed appropriate, and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
New
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
New
Respond to requests from the Recovery Audit Contractor (RAC) for patient records and appeal denials as needed. 6. Miscellaneous Duties (5%) a. Performs miscellaneous duties as deemed appropriate, and ...
Respond to requests from the Recovery Audit Contractor (RAC) for patient records and appeal denials as needed. 6. Miscellaneous Duties (5%) a. Performs miscellaneous duties as deemed appropriate, and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Clinical Denials Coding Review Specialist
Brentwood, TN · On-site
$17.75 - $22.75/hr
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Clinical Denials Coding Review Specialist
Brentwood, TN · On-site
$17.75 - $22.75/hr
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
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 ...
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 ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and ...
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 ...
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 ...
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 ...
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 ...
Reimbursement Manager
Hammond, IN · On-site
$96K - $145K/yr
... and recovery audit contractor (RAC) reserves. * Federal Register Monitoring: Track and analyze ... in Medicare/Medicaid cost reporting · 3+ years experience in supervisory role · Proficient in ...
Quick apply
Reimbursement Manager
Hammond, IN · On-site
$96K - $145K/yr
... and recovery audit contractor (RAC) reserves. * Federal Register Monitoring: Track and analyze ... in Medicare/Medicaid cost reporting · 3+ years experience in supervisory role · Proficient in ...
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 ...
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 ...
Medicare Recovery Audit Contractor information
See salary details
$30.5K - $38.4K
4% of jobs
$38.4K - $46.3K
14% of jobs
$48.6K is the 25th percentile. Wages below this are outliers.
$46.3K - $54.2K
24% of jobs
The median wage is $60.8K / yr.
$54.2K - $62.1K
9% of jobs
$62.1K - $70K
7% of jobs
$70K - $78K
6% of jobs
$78K - $85.9K
6% of jobs
$92.3K is the 75th percentile. Wages above this are outliers.
$85.9K - $93.8K
4% of jobs
$93.8K - $101.7K
6% of jobs
$101.7K - $109.6K
6% of jobs
$109.6K - $117.5K
12% of jobs
$30.5K
$72.6K
$117.5K
How much do medicare recovery audit contractor jobs pay per year?
As of Aug 17, 2026, the average yearly pay for medicare recovery audit contractor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.
What are common challenges Medicare Recovery Audit Contractors face on the job?
Medicare Recovery Audit Contractors often encounter challenges related to navigating complex and frequently changing Medicare regulations, as well as accurately interpreting medical records and billing data. They must be vigilant in identifying both overpayments and underpayments while balancing thoroughness with efficiency under strict deadlines. Additionally, contractors frequently interact with healthcare providers who may contest audit findings, requiring strong communication and conflict resolution skills. These challenges make the role dynamic and intellectually engaging, and those who excel tend to have a keen eye for detail and a passion for ensuring compliance.
What is a Medicare Recovery Audit Contractor?
A Medicare Recovery Audit Contractor (RAC) job involves reviewing Medicare claims to identify and correct improper payments made to healthcare providers. RACs detect overpayments and underpayments by analyzing medical records and billing data to ensure compliance with Medicare guidelines. These professionals work to recover overpaid funds and educate providers on proper billing practices. The goal of the RAC program is to reduce waste, fraud, and abuse within the Medicare system while ensuring accurate reimbursements.
What skills and qualifications are needed to thrive as a Medicare Recovery Audit Contractor?
To thrive as a Medicare Recovery Audit Contractor, you need a deep understanding of Medicare regulations, medical billing, coding, and compliance, often supported by experience in healthcare auditing or a related degree. Familiarity with auditing software, electronic health record systems, and certifications like CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) are commonly required. Excellent analytical thinking, attention to detail, and clear communication skills are standout soft skills for this position. These abilities are important to accurately identify improper payments, ensure regulatory compliance, and facilitate effective interactions with healthcare providers and regulatory agencies.
More about Medicare Recovery Audit Contractor jobs
What cities are hiring for Medicare Recovery Audit Contractor jobs?
Cities with the most Medicare Recovery Audit Contractor job openings:
What are the most commonly searched types of Medicare Recovery Audit Contractor jobs?
The most popular types of Medicare Recovery Audit Contractor jobs are:
What states have the most Medicare Recovery Audit Contractor jobs?
States with the most job openings for Medicare Recovery Audit Contractor jobs include:
What job categories do people searching Medicare Recovery Audit Contractor jobs look for?
The top searched job categories for Medicare Recovery Audit Contractor jobs are:
Contractor
Re-posted 10 days ago
Cape Cod Healthcare rating
6.7
Based on 34 frontline employees who took The Breakroom Quiz
531st of 887 rated healthcare providers
Job description
1. Develops systems and procedures for all government audits, gathers, compiles, organizes and documents relevant audit information.
2. Analyzes, consolidates and interprets audit data.
3. Present audit findings and all other relevant information to Senior Management, and/or the Audit Committee on an as needed basis.
4. Specific knowledge of Medicare Medicaid and commercial payer audit processes and time frames.
5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff.
6. Ensure compliance with all corporate standards and audit regulations as well as all CMS and commercial requirements.
7. Communicate with/educate external entities including the Centers for Medicare and Medicaid Services, Office of Inspector General, commercial payers, appellants and their authorized representatives.
8. Communicate effectively. This position displays effective communication skills while performing the following functions:
Verbal and written communication with Director and senior leadership, peers, departmental staff, and various corporate support departments
Verbal and written communication with external business partners including vendors, payer representatives, Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives
Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS), providers, and beneficiaries.
9. Identify opportunities, using Medicare policies and procedures, claims processing procedures and related data processing systems, to improve overall performance.
10. Coordinate activities and exchange of information with external business partners
11. Recommend, coordinate and initiate improvements to the process to achieve efficiency, cost reduction, productivity, and quality gains
12. Effectively utilizes audit tools. Utilizes with increasing proficiency, proprietary reports, tools and systems required to perform duties. With moderate guidance and direction,
timely executes assigned standard reports and updates. Working proficiency with all systems and applications including Decipher and client tools.
13. Coordinate provider education activities
14. Provide feedback to management on the status of audits in their section to ensure the department contributes toward the department meeting and exceeding all performance standards
15. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.
Associate's or bachelor's degree in Business or related field, or a combination of education and work experience;
One (1) to three (3) years of progressively more responsible healthcare experience
Experience with hospital information systems preferred.
Excellent interpersonal, problem solving, and critical thinking skills are required.
Excellent PC skills with a strong emphasis on the Outlook suite of products are required.
Excellent verbal and written communication skills are required.
Prior experience with analysis of government audits are a plus.
What Cape Cod Healthcare employees say
Pay
Benefits
Hours and flexibility
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About Cape Cod Hospital
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Hyannis, MA, US
Year founded
1920