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Recovery Audit Analyst Jobs (NOW HIRING)

... recovery, audit defense and recovery, and patient collections. Position adheres to departmental ... Requires a high level of interpersonal, problem solving, and analytic skills. Requires effective ...

Oversee sales and use tax recovery processes and ensure compliance with applicable regulations. * Manage and supervise Internal Audit Analysts and support staff , including performance evaluations.

... recovery, audit defense and recovery, and patient collections. Position adheres to departmental ... analytic skills. • Requires effective written and verbal communication skills. • Requires the ...

... recovery, audit defense and recovery, and patient collections. Position adheres to departmental ... Requires a high level of interpersonal, problem solving, and analytic skills. Requires effective ...

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... recovery, audit defense and recovery, and patient collections. Position adheres to departmental ... Requires a high level of interpersonal, problem solving, and analytic skills. Requires effective ...

... recovery, audit defense and recovery, and patient collections. Position adheres to departmental ... Requires a high level of interpersonal, problem solving, and analytic skills. Requires effective ...

... recovery, audit defense and recovery, and patient collections. Position adheres to departmental ... Requires a high level of interpersonal, problem solving, and analytic skills. Requires effective ...

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Recovery Audit Analyst information

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$31K

$89.7K

$126.5K

How much do recovery audit analyst jobs pay per year?

As of Aug 23, 2026, the average yearly pay for recovery audit analyst in the United States is $89,650.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,500.00 and $116,500.00 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.

More about Recovery Audit Analyst jobs

What cities are hiring for Recovery Audit Analyst jobs?

Cities with the most Recovery Audit Analyst job openings:

What states have the most Recovery Audit Analyst jobs?

States with the most job openings for Recovery Audit Analyst jobs include:

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

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

Infographic showing various Recovery Audit Analyst job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 22% Part Time, and 4% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $89,650 per year, or $43.1 per hour.

Revenue Cycle Audit Coordinator

Western Missouri Medical Center

Warrensburg, MO • On-site

Full-time

Re-posted 2 days ago


Western Missouri Medical Center rating

5.0

Company rating: 5.0 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

994th of 1,061 rated hospitals


Job description

Job Type
Full-time
Description
PURPOSE STATEMENT
The Revenue Cycle Audit & Medical Records Coordinator is responsible for coordinating, retrieving, reviewing, and submitting medical records in response to payer requests, pre-payment reviews, post-payment audits, 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 submission of medical documentation to support appropriate reimbursement while maintaining compliance with organizational policies, HIPAA regulations, and payer requirements.
Essential Duties and Responsibilities
Audit Coordination
  • Coordinate all incoming medical record requests from insurance companies, government agencies, third-party auditors, and regulatory entities, attorneys.
  • Prioritize requests based on payer deadlines and financial impact.
  • Maintain an audit tracking log documenting receipt, submission, due dates, and final determination.

Medical Record Retrieval
  • Retrieve complete and accurate medical records from the electronic health record.
  • Review documentation to ensure all required components are included prior to submission.
  • Coordinate with Health Information Management (HIM), Case Management, Coding, Patient Financial Services, and clinical departments when additional documentation is needed.
  • Verify documentation is legible, complete, and meets payer requirements.

Record Submission
  • Submit medical records through payer portals, secure fax, electronic upload, certified mail, or other approved methods.
  • Ensure submissions meet payer-specific formatting and documentation requirements.
  • Maintain confirmation of receipt and submission documentation.

Audit Follow-Up
  • Monitor audit status through completion.
  • Track outstanding requests and follow up with payers as needed.
  • Notify Revenue Cycle leadership of high-dollar audits, trends, or potential reimbursement risks.
  • Coordinate with Denial Management on adverse determinations requiring appeal.

Reporting & Analytics
  • Maintain audit statistics, including:
  • Number of requests received
  • Number completed
  • Turnaround times
  • Dollars at risk
  • Audit outcomes
  • Identify payer trends related to pre-payment reviews and post-payment audits.
  • Assist in preparing reports for Revenue Cycle leadership.

Compliance
  • Maintain compliance with HIPAA and organizational privacy policies.
  • Ensure medical records are released only to authorized entities.
  • Maintain confidentiality of protected health information.
  • Follow CMS, Medicare, Medicaid, and commercial payer audit requirements.

Other Duties
  • Perform additional duties and special projects as assigned to support Revenue Cycle operations and organizational goals.
  • Maintain regular and predictable attendance.
  • Support the Medical Center's Mission/Vision/Philosophy positively.

Requirements
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
  • High school diploma or equivalent.
  • Two years of experience in healthcare revenue cycle, patient financial services, health information management, or medical records preferred.
  • Experience with insurance audits, RAC audits, ADRs, pre-payment reviews, or payer documentation requests preferred.
  • Experience using an electronic health record.
  • Knowledge of healthcare reimbursement processes.
  • Knowledge of HIPAA and release of information requirements.
  • Understanding of payer audit processes.
  • Strong organizational skills.
  • Excellent written and verbal communication.
  • Ability to prioritize multiple deadlines.
  • Attention to detail.
  • Proficiency in Microsoft Office applications.
  • Ability to work collaboratively across multiple departments.

Performance Metrics
  • Medical Records Submitted Within Payer Timeframes.
  • Audit Turnaround Time.
  • Percentage of Requests Submitted Timely.
  • Number of Overdue Audit Requests.
  • Audit Dollars Protected.
  • Audit Tracking Accuracy.
  • Documentation Completeness.
  • Payer Response Timeliness.

PHYSICAL/MENTAL REQUIREMENTS
  • Must be able to sit and stand, intermittent 8 to 10 hours a day.
  • Must be able to use standard office equipment, including the telephone and computer keyboard.
  • Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.
  • Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.
  • Occasionally reaches above shoulder, regularly required to lift and/or carry up to 40 lbs.
  • Occasionally walks on uneven surfaces.

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