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Medicare Recovery Audit Contractor Jobs (NOW HIRING)

Great Plains Health

RAC Coordinator

North Platte, NE · On-site

... for the CMS Recovery Audit Contractor program and has accountability for daily management ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...

Gphealth

RAC Coordinator

North Platte, NE

... for the CMS Recovery Audit Contractor program and has accountability for daily management ... audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make ...

Sanderson Firm

Recovery Specialist

Bradenton, FL · Remote

$22 - $25/hr

This role requires interaction not only with our clients, but with Medicare recovery contractors, Medicare Advantage Plans and their subrogation contractors, Part D Prescription Drug plans and the ...

Montefiore

Senior Compliance Auditor (JR229173)

Bronx, NY

$89K - $110K/yr

Centers for Medicare and Medicaid Services (CMS) * National Government Services (NGS) * Medicaid Integrity Program Contractor (MIC) * Recovery Audit Contractor (RAC) * Zone Program Integrity ...

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Medicare Recovery Audit Contractor information

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How much do medicare recovery audit contractor jobs pay per year?

As of Jun 16, 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 some 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 job?

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 are the key skills and qualifications needed to thrive in the Medicare Recovery Audit Contractor position, and why are they important?

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:
Medicare Recovery Audit Contractor jobs near you
Infographic showing various Medicare Recovery Audit Contractor job openings in the United States as of June 2026, with employment types broken down into 66% Full Time, 6% Part Time, and 28% Contract. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.
Government Audit Recovery Specialist

Government Audit Recovery Specialist

Apidel Technologies

Costa Mesa, CA • Remote

Full-time

Posted 4 hours ago

Job description

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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About Apidel Technologies

Sourced by ZipRecruiter

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.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Plainfield, IL, US

Year founded

2012

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