Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime if needed. Education/Certification: N/A Experience: Three years ...
Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime if needed. Education/Certification: N/A Experience: Three years ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
This position provides professional, accurate and timely responses to CMS (Medicare) and provider ... Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
This position provides professional, accurate and timely responses to CMS (Medicare) and provider ... Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
This position provides professional, accurate and timely responses to CMS (Medicare) and provider ... Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
This position provides professional, accurate and timely responses to CMS (Medicare) and provider ... Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
This position provides professional, accurate and timely responses to CMS (Medicare) and provider ... Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
This position provides professional, accurate and timely responses to CMS (Medicare) and provider ... Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ...
Compliance Consultant
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 ...
Compliance Consultant
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 ...
Nurse Auditor
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 ...
Nurse Auditor
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 ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
This position provides professional, accurate and timely responses to CMS (Medicare) and provider ... Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
This position provides professional, accurate and timely responses to CMS (Medicare) and provider ... Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
Clinical Appeals Coordinator | Concord Hospital | Part Time
Concord, NH · On-site
$22.25 - $27.50/hr
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
Clinical Appeals Coordinator | Concord Hospital | Part Time
Concord, NH · On-site
$22.25 - $27.50/hr
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
... Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). • In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
... Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). • In ... Medicare Condition Code W2s (Medicare Part B rebilling) 3. Compliance with Utilization Review ...
Compliance Consultant
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 ...
Compliance Consultant
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 ...
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
Clinical Appeals Coordinator | Concord Hospital | Part Time
$22.25 - $27.50/hr
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
Clinical Appeals Coordinator | Concord Hospital | Part Time
$22.25 - $27.50/hr
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
Clinical Review Coordinator
Annapolis Junction, MD · On-site
$83K/yr
Quality of care review experience or medical review experience in support of Medicare Administrative Contractor (MAC) or Recovery Audit Contractor (RAC) appeals. Experience performing pre- and post ...
Clinical Review Coordinator
Annapolis Junction, MD · On-site
$83K/yr
Quality of care review experience or medical review experience in support of Medicare Administrative Contractor (MAC) or Recovery Audit Contractor (RAC) appeals. Experience performing pre- and post ...
Health Information Management (HIM) Manager
Gunnison, CO · On-site
$1.0K/wk
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
Health Information Management (HIM) Manager
Gunnison, CO · On-site
$1.0K/wk
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
Medical Records Coordinator
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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Medical Records Coordinator
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 ...
... Medicare rules and regulations, Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client agreements. Proficient knowledge of charge master components (CPT codes ...
... Medicare rules and regulations, Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client agreements. Proficient knowledge of charge master components (CPT codes ...
Health Information Management (HIM) Manager
$55K - $96K/yr
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
Health Information Management (HIM) Manager
$55K - $96K/yr
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
... Medicare / Medicaid compliance, medical staff structure, policies and procedures * Physician ... Facilitate pre-payment reviews and/or participating in recovery audit contractor reviews * Assist ...
... Medicare / Medicaid compliance, medical staff structure, policies and procedures * Physician ... Facilitate pre-payment reviews and/or participating in recovery audit contractor reviews * Assist ...
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 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:
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Full-time
Posted 6 days ago
Onslow Memorial Hospital rating
5.0
Based on 12 frontline employees who took The Breakroom Quiz
929th of 999 rated hospitals
Job description
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and follow-up of all outstanding patient accounts. This includes but is not limited to timely review of Patient Accounting Desktop, Clearinghouse billing list and Intermediary on line error list. Contact insurance companies and patients, filing primary, secondary and tertiary insurance, re-bills, and review payment remittance. Review line item denials and claim rejections for possible appeal and/or research for resubmission. Be proficient in the use of multiple payer software systems. The knowledge of billing codes including CPT, ICD10, HCPCS, Modifiers, CCI Edits, MUE Edits and claim formats. The ultimate result of these efforts should facilitate complete and prompt payments from third party payers to ensure maximum cash flow. Additional responsibilities include posting payments and denials to claims filed directly to a patient’s account via electronic posting and manual batch posting. Also required to process requested adjustments, complete daily reconciliation of bank deposits and payment posting. The Claims Analyst Specialist is responsible for entering daily posting numbers to accounting shared spreadsheet, processing refunds from credit balance report and completing insurance requests to include follow up. Interact with insurance carriers in all aspects of claim resolution. Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime if needed.
Education/Certification: N/A
Experience:
Three years hospital billing in several financial classes preferred.
Two years recent hospital cash posting.
General accounting practices required
What Onslow Memorial Hospital employees say
Pay
Hours and flexibility
Workplace
Get the full story on Breakroom
About Onslow Memorial Hospital
Sourced by ZipRecruiter
Onslow Memorial Hospital (OMH), originally founded in 1944, stands as a 162-bed acute care, community hospital located in coastal North Carolina, serving the city of Jacksonville and greater Onslow County. Onslow Memorial Hospital is nationally accredited by The Joint Commission (TJC). The hospital offers a vast array of healthcare services with state-of-the-art diagnostic services, including a Women's Imaging Center, Cardiac Cath Lab, Neurodiagnostic Lab, MRI and CT Scan, to list just a few. Onslow Memorial Hospital also has a modern Labor and Delivery suite with state-of-the-art monitoring system, Neonatal Intensive Care Unit, Newborn Nursery, Intensive Care Unit/Coronary Care Unit, Medical and Surgical Services, and Rehabilitation Services (including Physical, Occupational, and Speech Therapy). A responsive Emergency Department and Minor Emergency Care Unit treats more than 50,000 patients annually. In recent years, a robust array of online services and portals have been developed to provide all of our stakeholders, from patients to students to medical partners, access to timely information and insights.
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Jacksonville, NC, US
Year founded
1944