... post-payment audits, Recovery Audit Contractor (RAC) audits, Medicare and Medicaid audits ... Reporting & Analytics * Maintain audit statistics, including: * Number of requests received
... post-payment audits, Recovery Audit Contractor (RAC) audits, Medicare and Medicaid audits ... Reporting & Analytics * Maintain audit statistics, including: * Number of requests received
Develop customized audit strategies leveraging analytics, automation tools, and proprietary benchmarking data to uncover root-cause trends and savings opportunities. * Present findings, recovery ...
Develop customized audit strategies leveraging analytics, automation tools, and proprietary benchmarking data to uncover root-cause trends and savings opportunities. * Present findings, recovery ...
Develop customized audit strategies leveraging analytics, automation tools, and proprietary benchmarking data to uncover root-cause trends and savings opportunities. * Present findings, recovery ...
Develop customized audit strategies leveraging analytics, automation tools, and proprietary benchmarking data to uncover root-cause trends and savings opportunities. * Present findings, recovery ...
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and ... Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC)
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and ... Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC)
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and ... Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC)
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and ... Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC)
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and ... Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC)
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and ... Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC)
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and ... Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC)
Claims Analyst Specialist is knowledgeable of all payers. Responsible for the tracking, review and ... Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC)
... analyze financial and medical claims data, conduct forensic audits, develop damages assessments, and prepare reports and evidence to support investigations, prosecutions, settlements, and recoveries.
... analyze financial and medical claims data, conduct forensic audits, develop damages assessments, and prepare reports and evidence to support investigations, prosecutions, settlements, and recoveries.
Claims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement
Denver, CO · On-site
$60K - $87K/yr
Job Summary Under general supervision, Claims Audit Analyst is responsible for benefit ... Party Recovery, Finance, Patient Accounts, Enrollment, Utilization Management and Product Line ...
Claims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement
Denver, CO · On-site
$60K - $87K/yr
Job Summary Under general supervision, Claims Audit Analyst is responsible for benefit ... Party Recovery, Finance, Patient Accounts, Enrollment, Utilization Management and Product Line ...
Internal Audit Manager- CPA, (Direct Hire), Tulsa, OK - 37144765
Tulsa, OK · On-site
$83K - $110K/yr
... recovery of sales and use tax on items purchased for Medicaid patients, while also ensuring compliance with tax regulations on all purchased goods. -Supervises Internal Audit Analyst and other ...
Quick apply
Internal Audit Manager- CPA, (Direct Hire), Tulsa, OK - 37144765
Tulsa, OK · On-site
$83K - $110K/yr
... recovery of sales and use tax on items purchased for Medicaid patients, while also ensuring compliance with tax regulations on all purchased goods. -Supervises Internal Audit Analyst and other ...
Internal Audit Manager - Acute Care Hospital
Tulsa, OK · On-site
$85K - $95K/yr
Oversee sales and use tax recovery processes and ensure compliance with tax regulations * Supervise Internal Audit Analysts and support staff * Communicate findings and recommendations to leadership ...
Quick apply
Internal Audit Manager - Acute Care Hospital
Tulsa, OK · On-site
$85K - $95K/yr
Oversee sales and use tax recovery processes and ensure compliance with tax regulations * Supervise Internal Audit Analysts and support staff * Communicate findings and recommendations to leadership ...
RCS Analyst
Indianapolis, IN · On-site
... 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 ...
RCS Analyst
Indianapolis, IN · On-site
... 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 ...
Internal Audit Manager
Tulsa, OK · On-site
$82K/yr
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.
Quick apply
Internal Audit Manager
Tulsa, OK · On-site
$82K/yr
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.
Lease Auditor #2444
Camp Hill, PA · On-site
Document audit findings and prepare supporting analyses for cost recovery claims * Coordinate with landlords and third-party partners to facilitate recovery of overpaid funds Financial Analysis ...
Lease Auditor #2444
Camp Hill, PA · On-site
Document audit findings and prepare supporting analyses for cost recovery claims * Coordinate with landlords and third-party partners to facilitate recovery of overpaid funds Financial Analysis ...
RCS Analyst
Indianapolis, IN · On-site
... recovery, audit defense and recovery, and patient collections. Position adheres to departmental ... analytic skills. • Requires effective written and verbal communication skills. • Requires the ...
RCS Analyst
Indianapolis, IN · On-site
... recovery, audit defense and recovery, and patient collections. Position adheres to departmental ... analytic skills. • Requires effective written and verbal communication skills. • Requires the ...
RCS-Analyst
Muncie, IN · On-site
... 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 ...
New
RCS-Analyst
Muncie, IN · On-site
... 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 ...
New
RCS Analyst
Indianapolis, IN · On-site
... 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 ...
RCS Analyst
Indianapolis, IN · On-site
... 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 ...
RCS Analyst
Bloomington, IN · On-site
... 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 ...
RCS Analyst
Bloomington, IN · On-site
... 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 ...
RCS Analyst
Bloomington, IN · On-site
... 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 ...
RCS Analyst
Bloomington, IN · On-site
... 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 ...
Recovery Audit Analyst information
See salary details
$31K - $39.7K
6% of jobs
$39.7K - $48.4K
5% of jobs
$48.4K - $57K
6% of jobs
$65.1K is the 25th percentile. Wages below this are outliers.
$57K - $65.7K
7% of jobs
$65.7K - $74.4K
11% of jobs
$74.4K - $83.1K
7% of jobs
The median wage is $90.5K / yr.
$83.1K - $91.8K
7% of jobs
$91.8K - $100.5K
7% of jobs
$100.5K - $109.1K
3% of jobs
$112.9K is the 75th percentile. Wages above this are outliers.
$109.1K - $117.8K
31% of jobs
$117.8K - $126.5K
7% of jobs
$31K
$89.7K
$126.5K
How much do recovery audit analyst jobs pay per year?
What is a recovery audit analyst?
What are the key skills and qualifications needed to thrive as a recovery audit analyst?
How does a recovery audit analyst typically collaborate with other departments to identify and resolve discrepancies?
What is the difference between Recovery Audit Analyst vs Claims Analyst?
| Aspect | Recovery Audit Analyst | Claims Analyst |
|---|---|---|
| Certifications | Often requires certifications like CPC, CCS, or similar | May require CPC or similar healthcare billing certifications |
| Work Environment | Typically in healthcare, insurance, or government agencies | Usually in insurance companies, healthcare providers, or government agencies |
| Job Focus | Identifies and recovers improper payments through audits | Reviews 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 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:

Full-time
Re-posted 2 days ago
Western Missouri Medical Center rating
5.0
Based on 11 frontline employees who took The Breakroom Quiz
994th of 1,061 rated hospitals
Job description
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.
What Western Missouri Medical Center employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Western Missouri Medical Center
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Warrensburg, MO, US
Year founded
1963