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Recovery Audit Analyst Jobs in Virginia (NOW HIRING)

Reworld

Financial Analyst

Lorton, VA

... and recover value from waste streams and meet or exceed their sustainability goals. Our Value ... audits Prepare financial and modeling analysis for facility projects to improve costs and meet ...

New

GDIT

Program Execution Analyst Senior

Falls Church, VA · Hybrid

$102K - $138K/yr

Experience supporting corrective actions, performance improvement efforts, or recovery of troubled ... Familiarity with quality management and compliance practices (CMMI, ISO, internal audits) is ...

Cellebrite

Cyber Threat Analyst

Tysons, VA · On-site +1

... and disaster recovery plans. * Perform internal and external security audits. Requirements ... Minimum 5 years experience as a Tier 2 Cyber Threat Analyst * Certifications: Security+ or CEH

New

Kokosing

Environmental Manager Mid-Atlantic

Richmond, VA

$115K - $119K/yr

Resource Conservation and Recovery Act (RCRA) hazardous materials and universal waste management ... Conduct environmental audits, analyses, and performance reporting for both internal and external ...

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Recovery Audit Analyst information

See Virginia salary details

$30.7K

$88.9K

$125.4K

How much do recovery audit analyst jobs pay per year?

As of Aug 21, 2026, the average yearly pay for recovery audit analyst in Virginia is $88,881.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,900.00 and $115,500.00 per year, depending on experience, location, and employer.

What is a recovery audit analyst?

Recovery Audit Analysts are professionals who review financial transactions, such as payments and claims, to identify errors, overpayments, or discrepancies. They typically work for healthcare organizations, insurance companies, or financial institutions to ensure compliance and recover lost revenue. Their role involves analyzing large datasets, investigating anomalies, and collaborating with other departments to resolve issues and implement process improvements. Recovery Audit Analysts help organizations minimize financial losses and maintain accurate records.

What are the key skills and qualifications needed to thrive as a recovery audit analyst?

To thrive as a Recovery Audit Analyst, you need strong analytical skills, attention to detail, and a background in finance, accounting, or healthcare administration, often supported by a relevant degree. Familiarity with audit software, data analysis tools like Excel or SQL, and sometimes certifications such as Certified Internal Auditor (CIA) are typically required. Excellent communication, problem-solving abilities, and organizational skills help you effectively collaborate with teams and deliver actionable insights. These skills are crucial for accurately identifying discrepancies, ensuring compliance, and recovering lost revenue for organizations.

How does a recovery audit analyst typically collaborate with other departments to identify and resolve discrepancies?

Recovery Audit Analysts work closely with departments such as finance, accounts payable, procurement, and compliance to investigate and resolve payment discrepancies. They often communicate findings through reports and meetings, ensuring all relevant stakeholders understand potential errors and recovery opportunities. This collaborative approach helps streamline processes, prevent future losses, and ensure accurate financial records across the organization.

What is the difference between Recovery Audit Analyst vs Claims Analyst?

AspectRecovery Audit AnalystClaims Analyst
CertificationsOften requires certifications like CPC, CCS, or similarMay require CPC or similar healthcare billing certifications
Work EnvironmentTypically in healthcare, insurance, or government agenciesUsually in insurance companies, healthcare providers, or government agencies
Job FocusIdentifies and recovers improper payments through auditsReviews and processes insurance claims for accuracy and compliance

Recovery Audit Analysts and Claims Analysts share overlapping skills in healthcare billing and auditing. While Recovery Audit Analysts focus on identifying and recovering improper payments, Claims Analysts primarily process and review claims for accuracy. Both roles are essential in healthcare finance and often work within similar environments, requiring certifications like CPC or CCS. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

What are popular job titles related to Recovery Audit Analyst jobs in Virginia?

For Recovery Audit Analyst jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Recovery Audit Analyst jobs in Virginia look for?

The top searched job categories for Recovery Audit Analyst jobs in Virginia are:

What cities in Virginia are hiring for Recovery Audit Analyst jobs?

Cities in Virginia with the most Recovery Audit Analyst job openings:

Recovery Audit Analyst jobs near you

Nurse Auditor Revenue Integrity Specialist

Chesapeake Regional Healthcare

Chesapeake, VA • On-site

Full-time

Re-posted yesterday

Chesapeake Regional Healthcare rating

6.9

Company rating: 6.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
  • Coordinate, supervise, and respond to third-party patient bill audits. Perform patient-requested audits in a timely manner. Perform random quality audits as schedule permits.
  • Assist Patient Account personnel with patient questions about itemized charges.
  • Maintain reporting systems for audit activities and identify patterns and trends in results.
  • Act as a resource for all hospital departments regarding charging questions and issues.
  • Routinely review inpatient and outpatient records for appropriate coding and charging.
  • Provide educational sessions for revenue-producing departments regarding appropriate charging processes and procedures.
  • Work cooperatively with the Patient Accounting staff and other healthcare professionals in obtaining correct HCPCS codes and modifiers.
  • Assist the Health Information Department with RAC requests, coding reviews, and denials.
  • Ensure accuracy and integrity of charge data prior to billing interface and claims submission.
  • Utilize a computerized encoding system to facilitate accurate coding and sequence diagnoses and procedures by following ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal intermediary guidelines.
  • Report trends and improvements to the Director of Patient Accounts regarding assigned HCPCS codes and modifiers.
  • Receive, review, verify, and process requests for chart audits of inpatient hospitalizations, diagnostic testing, outpatient procedures and services, home health care services, durable medical equipment, rehabilitative therapies, and pharmacy reviews from Finance and/or Claims departments.
  • Prepare written reports for Finance and Claims departments, including explanations for recovery of monies and appropriate regulatory agencies.
  • Educate Provider Services, Claims, Recovery, Finance, and other department staff on audit outcomes and assist Provider Services with educational efforts.
  • Provide feedback and process improvement recommendations to appropriate hospital departments and committees based on analysis and trending of hospital or provider audits.
  • Provide written explanations to patients questioning their bills. Must be able to communicate effectively, both verbally and in writing, with clinical and non-clinical staff and individuals.
  • Be familiar with coding diagnostic and procedural information from the medical record using ICD-10-CM and CPT-4/HCPCS classification systems. Utilize a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal intermediary guidelines.
  • Consistently maintain established productivity requirements and achieve a 96% or greater accuracy rate.
  • Attend hospital-wide orientation, in-services, educational meetings, and other meetings as required.
  • Attend continuing education functions as necessary to maintain credentials, regardless of whether educational programs are supported by the department budget.
  • Exhibit excellent customer relations with patients, visitors, physicians, and co-workers.
  • Show courtesy, compassion, honesty, and respect for others in adherence to the Hospital's mission, philosophy, and policies for promoting a positive work and customer environment.
  • Adhere to CRMC's confidentiality policy for all information related to patients, families and friends, hospital employees, physicians, and clients.
  • Maintain effective interdepartmental communication.
  • Attend required hospital-wide orientations, meetings, and in-services.
  • Demonstrate a commitment to flexible work scheduling when necessary.

Education and Experience
Minimum Required Education: Graduate of an approved school of professional nursing.
Preferred Education: Bachelor of Science in Nursing (BSN) preferred.
Experience: Senior-level coding experience with at least five years of recent coding experience in an acute hospital setting is required, with coding ability demonstrated through a skills assessment; or five years of experience as an intensive care unit nurse, emergency department nurse, or documentation specialist nurse auditor.
Experience with health information systems and computer technology is required.
Must possess the ability to communicate effectively, both verbally and in writing, and work independently with strong attention to detail and accuracy.
Certificates, Licenses, Registrations
  • Current Virginia Registered Nurse (RN) License.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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