The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
Hattiesburg, MS · On-site
In this position, the employee will assist the Revenue Analyst with Procedure and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also ...
Hattiesburg, MS · On-site
In this position, the employee will assist the Revenue Analyst with Procedure and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also ...
Hyannis, MA · On-site
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives • Verbal and written communication with our customers including the Centers for ...
Hyannis, MA · On-site
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives • Verbal and written communication with our customers including the Centers for ...
... Recovery Audit Contractor (RAC), Unified Program Integrity Contractor (UPIC), Medicare Administrative Contractor (MAC), Medicaid, commercial payer, and other regulatory audits. What We're Looking For ...
... Recovery Audit Contractor (RAC), Unified Program Integrity Contractor (UPIC), Medicare Administrative Contractor (MAC), Medicaid, commercial payer, and other regulatory audits. What We're Looking For ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management ...
North Platte, NE · On-site
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management ...
$18.75 - $25.75/hr
The RAC Specialist serves as the organizational subject matter specialist for Recovery Audit Contractor and related government claim recovery activities. This position independently interprets CMS ...
$18.75 - $25.75/hr
The RAC Specialist serves as the organizational subject matter specialist for Recovery Audit Contractor and related government claim recovery activities. This position independently interprets CMS ...
North Platte, NE · On-site
$18.75 - $25.75/hr
The RAC Specialist serves as the organizational subject matter specialist for Recovery Audit Contractor and related government claim recovery activities. This position independently interprets CMS ...
North Platte, NE · On-site
$18.75 - $25.75/hr
The RAC Specialist serves as the organizational subject matter specialist for Recovery Audit Contractor and related government claim recovery activities. This position independently interprets CMS ...
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 ...
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 ...
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 ...
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 ...
Bronx, NY · On-site
$89K - $110K/yr
Recovery Audit Contractor (RAC) * Zone Program Integrity Contractor (ZPIC) * Health Care Fraud Prevention and Enforcement Action Team (HEAT) * Ensure timely and accurate response to external audit ...
Bronx, NY · On-site
$89K - $110K/yr
Recovery Audit Contractor (RAC) * Zone Program Integrity Contractor (ZPIC) * Health Care Fraud Prevention and Enforcement Action Team (HEAT) * Ensure timely and accurate response to external audit ...
$96K - $145K/yr
Prepare and review State Medicaid disproportionate share hospital (DSH) shortfall filings, third-party cost reports, and recovery audit contractor (RAC) reserves. * Federal Register Monitoring: Track ...
Quick apply
$96K - $145K/yr
Prepare and review State Medicaid disproportionate share hospital (DSH) shortfall filings, third-party cost reports, and recovery audit contractor (RAC) reserves. * Federal Register Monitoring: Track ...
Texarkana, TX · On-site
$17.25 - $21.75/hr
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Texarkana, TX · On-site
$17.25 - $21.75/hr
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Sonora, CA · On-site
$41 - $49.50/hr
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 ...
Sonora, CA · On-site
$41 - $49.50/hr
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 ...
Chesapeake, VA · On-site
Recovery Audit Contractor (RAC); Zone Program Integrity Contractor (ZPIC); Health Care Fraud Prevention and Enforcement Action Team (HEAT) * Participates in development of voluntary disclosures and ...
Chesapeake, VA · On-site
Recovery Audit Contractor (RAC); Zone Program Integrity Contractor (ZPIC); Health Care Fraud Prevention and Enforcement Action Team (HEAT) * Participates in development of voluntary disclosures and ...
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Chesapeake, VA · On-site
Recovery Audit Contractor (RAC); Zone Program Integrity Contractor (ZPIC); Health Care Fraud Prevention and Enforcement Action Team (HEAT) * Participates in development of voluntary disclosures and ...
Chesapeake, VA · On-site
Recovery Audit Contractor (RAC); Zone Program Integrity Contractor (ZPIC); Health Care Fraud Prevention and Enforcement Action Team (HEAT) * Participates in development of voluntary disclosures and ...
Sonora, CA · On-site
$52.62 - $72.18/hr
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 ...
Sonora, CA · On-site
$52.62 - $72.18/hr
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 ...
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 ...
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 ...
$61K - $69.8K
0% of jobs
$69.8K - $78.5K
2% of jobs
$78.5K - $87.3K
4% of jobs
$87.3K - $96.1K
7% of jobs
$104.7K is the 25th percentile. Wages below this are outliers.
$96.1K - $104.9K
12% of jobs
$104.9K - $113.6K
14% of jobs
The median wage is $119.8K / yr.
$113.6K - $122.4K
16% of jobs
$122.4K - $131.2K
16% of jobs
$133.8K is the 75th percentile. Wages above this are outliers.
$131.2K - $140K
15% of jobs
$140K - $148.7K
8% of jobs
$148.7K - $157.5K
6% of jobs
$61K
$120.2K
$157.5K
Recovery Audit Contractors (RACs) often face the challenge of reviewing large volumes of complex medical billing and patient records, which requires high attention to detail and a strong grasp of both clinical and financial documentation. Navigating evolving healthcare regulations and payer requirements can also be demanding, as guidelines frequently change and can affect audit criteria. In addition, effective communication with healthcare providers—sometimes addressing sensitive payment or compliance issues—is a key part of the job. Overcoming these challenges requires continuous learning and strong organizational skills, but also offers opportunities for problem-solving and professional growth.
To thrive as a Recovery Audit Contractor, you need a solid background in healthcare administration, auditing practices, and financial analysis, often supported by a degree in accounting, finance, or health information management. Familiarity with Medicare/Medicaid systems, claims processing software, and certifications such as Certified Professional Medical Auditor (CPMA) or Certified Healthcare Auditor (CHA) are commonly required. Attention to detail, analytical thinking, and effective communication skills help contractors review complex records and discuss findings with stakeholders. These abilities are crucial for accurately identifying payment discrepancies, ensuring compliance, and facilitating productive partnerships with healthcare providers.
A Recovery Audit Contractor (RAC) job involves reviewing healthcare claims to identify overpayments and underpayments made to providers. RACs work on behalf of government agencies, such as Medicare or Medicaid, to ensure billing accuracy and compliance with regulations. They analyze medical records, coding practices, and financial data to detect errors or fraudulent claims. The goal is to recover improper payments while maintaining fairness in the reimbursement process.

$25 - $35/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 4 days ago
Adecco Healthcare is working with our client in Costa Mesa, CA to hire an on-site Government Audit Recovery Specialist for a temporary assignment.
Type: Temp/Contract
Hours: Monday - Friday 8a-5p
Pay Range: $25-$35/hour - DOE
Responsibilities Include:
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance including:
- data entry
- processing of mail
- preparation of audit information
- correspondence with government contractors as needed
- responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits
Requirements Include:
- HS Diploma or GED
-A fundamental understanding of the RAC program and other audits for documentation and billing compliance
• 3 years of Medicare billing experience in billing, follow up, in an acute care setting
• Experience working on complex projects
• 1-3 years of experience in healthcare acute setting regulatory audits and appeals
• Experience with and understanding of CMS billing, payment and reimbursement methodologies
• Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations
• Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook)
Preferred Requirements Include:
• 5 years of experience or more in an acute setting
• 3 years of experience in healthcare acute setting regulatory audits and appeals
• Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits
• 5 years of experience in Medicare billing, follow up, appeals
• Knowledge of utilization management process, coding, medical necessity criteria
Why work for Adecco?
· Weekly Pay
· 401(k) Plan
· Skills Training
· Excellent medical, dental, and vision benefits
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
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