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Medicare Recovery Audit Contractor Jobs (NOW HIRING)

Adventist Health

RN, MDS Coordinator

Sonora, CA · On-site

$41 - $49.50/hr

Assists with ensuring the Resource Utilization Group (RUG) category information on Medicare residents is forwarded to the business office in a timely manner. Assists the Recovery Audit Contractor ...

Adventist Health

RN, MDS Coordinator

Sonora, CA

$41 - $49.50/hr

Assists with ensuring the Resource Utilization Group (RUG) category information on Medicare residents is forwarded to the business office in a timely manner. Assists the Recovery Audit Contractor ...

Adventist Health

RN, MDS Coordinator

Sonora, CA · On-site

$52.62 - $72.18/hr

Assists with ensuring the Resource Utilization Group (RUG) category information on Medicare residents is forwarded to the business office in a timely manner. Assists the Recovery Audit Contractor ...

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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 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 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.

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.

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Medicare Recovery Audit Contractor jobs near you
Infographic showing various Medicare Recovery Audit Contractor job openings in the United States as of August 2026, with employment types broken down into 66% Full Time, 7% Part Time, and 27% Contract. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

RN, MDS Coordinator

Adventist Health

Sonora, CA • On-site

$41 - $49.50/hr

Other

Re-posted 17 days ago

Adventist Health rating

7.7

Company rating: 7.7 out of 10

Based on 243 frontline employees who took The Breakroom Quiz

158th of 887 rated healthcare providers

Job description

Job Posting

Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown. The allure of Sonora's close-knit community is complimented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe.

Job Summary:

Coordinates and leads the inputting of Minimum Data Set (MDS) data into the organizational database. Ensures the documentation of departmental admissions and discharges. Ensures all MDS assessment forms are completed for all residents in certified nursing homes. Ensures required assessments for residents, within specific guidelines and time frames, are met. Coordinates small program(s) with limited budget/impact.

Job Requirements:

Education and Work Experience:

  • Bachelor's Degree in Nursing (BSN): Preferred

Licenses/Certifications:

  • Registered Nurse (RN) licensure in the state of practice: Required
Essential Functions:
  • Assigns and leads the Assessment Reference Data (ARD) and starts the schedule of assessments upon resident admission. Coordinates and ensures processing of ARD's prior to deadline. Ensures the Interdisciplinary Team (IDT) is notified of assessment dates.
  • Coordinates work with the Resident Assessment Coordinator. Transmits MDS data on a weekly basis to appropriate agencies.
  • Assists with ensuring the Resource Utilization Group (RUG) category information on Medicare residents is forwarded to the business office in a timely manner. Assists the Recovery Audit Contractor (RAC) in completion of necessary audits.
  • Notifies IDT of patient schedule conference and of the Assessment Reference Data (ARD).
  • Provides new admissions with the unit admission packet within 72 hours of admission. Places pertinent admission paperwork in the patient record.
  • Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

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