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 ...
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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 ...
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 ...
$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 ...
$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
$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 ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Redwood City, CA · On-site
$140K - $203K/yr
Behavioral Health and Recovery Services Opening Date: 03/06/2026 Closing Date: Continuous ... Lead audit readiness and response efforts, including preparation for DHCS compliance reviews ...
Redwood City, CA · On-site
$140K - $203K/yr
Behavioral Health and Recovery Services Opening Date: 03/06/2026 Closing Date: Continuous ... Lead audit readiness and response efforts, including preparation for DHCS compliance reviews ...
Pasadena, CA · On-site
Claims Audit REPORTS TO: Claims Audit Manager / Claims Director JOB SUMMARY: The Claims Auditor is ... Medicare Contracted: 60 calendar days * Collaborate with the Recovery Team on overpayment ...
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Pasadena, CA · On-site
Claims Audit REPORTS TO: Claims Audit Manager / Claims Director JOB SUMMARY: The Claims Auditor is ... Medicare Contracted: 60 calendar days * Collaborate with the Recovery Team on overpayment ...
... Recovery Services (BHRS) Division is seeking an experienced and strategic leader to serve as a ... Lead audit readiness and response efforts, including preparation for DHCS compliance reviews ...
... Recovery Services (BHRS) Division is seeking an experienced and strategic leader to serve as a ... Lead audit readiness and response efforts, including preparation for DHCS compliance reviews ...
Concord, CA · On-site
$94K - $127K/yr
... recovery, enterprise services, vulnerability remediation, STIG implementation, and system ... Provide technical artifacts and documentation supporting ATO, C&A, audits, SOPs, troubleshooting ...
Concord, CA · On-site
$94K - $127K/yr
... recovery, enterprise services, vulnerability remediation, STIG implementation, and system ... Provide technical artifacts and documentation supporting ATO, C&A, audits, SOPs, troubleshooting ...
$94K - $127K/yr
... recovery, enterprise services, vulnerability remediation, STIG implementation, and system ... Provide technical artifacts and documentation supporting ATO, C&A, audits, SOPs, troubleshooting ...
$94K - $127K/yr
... recovery, enterprise services, vulnerability remediation, STIG implementation, and system ... Provide technical artifacts and documentation supporting ATO, C&A, audits, SOPs, troubleshooting ...
Concord, CA · On-site
$94K - $127K/yr
... recovery, enterprise services, vulnerability remediation, STIG implementation, and system ... Provide technical artifacts and documentation supporting ATO, C&A, audits, SOPs, troubleshooting ...
Concord, CA · On-site
$94K - $127K/yr
... recovery, enterprise services, vulnerability remediation, STIG implementation, and system ... Provide technical artifacts and documentation supporting ATO, C&A, audits, SOPs, troubleshooting ...
Concord, CA · On-site
$94K - $127K/yr
... recovery, enterprise services, vulnerability remediation, STIG implementation, and system ... Provide technical artifacts and documentation supporting ATO, C&A, audits, SOPs, troubleshooting ...
Concord, CA · On-site
$94K - $127K/yr
... recovery, enterprise services, vulnerability remediation, STIG implementation, and system ... Provide technical artifacts and documentation supporting ATO, C&A, audits, SOPs, troubleshooting ...
... to external audit and compliance questionnaires, providing accurate and timely security ... contractors with access to systems and data are appropriately trained in relevant security ...
... to external audit and compliance questionnaires, providing accurate and timely security ... contractors with access to systems and data are appropriately trained in relevant security ...
... to external audit and compliance questionnaires, providing accurate and timely security ... contractors with access to systems and data are appropriately trained in relevant security ...
... to external audit and compliance questionnaires, providing accurate and timely security ... contractors with access to systems and data are appropriately trained in relevant security ...
Richmond, CA · On-site
$20 - $25/hr
... recovery. · Installing power leads. · Installing, removing or swapping equipment. · Locating and ... audit requirements, information protection requirements, security requirements and standards ...
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Richmond, CA · On-site
$20 - $25/hr
... recovery. · Installing power leads. · Installing, removing or swapping equipment. · Locating and ... audit requirements, information protection requirements, security requirements and standards ...
Bakersfield, CA · On-site
$24.25 - $31.25/hr
... recovery. · Installing power leads. · Installing, removing or swapping equipment. · Locating and ... audit requirements, information protection requirements, security requirements and standards ...
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Bakersfield, CA · On-site
$24.25 - $31.25/hr
... recovery. · Installing power leads. · Installing, removing or swapping equipment. · Locating and ... audit requirements, information protection requirements, security requirements and standards ...
San Diego, CA · On-site
$110K - $140K/yr
... contracting while enabling growth, scalability, and operational efficiency. This is a hands-on ... Develop IT roadmaps that support scalability, security, and audit readiness * Manage external ...
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San Diego, CA · On-site
$110K - $140K/yr
... contracting while enabling growth, scalability, and operational efficiency. This is a hands-on ... Develop IT roadmaps that support scalability, security, and audit readiness * Manage external ...
$60.2K - $68.9K
0% of jobs
$68.9K - $77.5K
2% of jobs
$77.5K - $86.2K
4% of jobs
$86.2K - $94.8K
7% of jobs
$103.3K is the 25th percentile. Wages below this are outliers.
$94.8K - $103.5K
12% of jobs
$103.5K - $112.1K
14% of jobs
The median wage is $118.2K / yr.
$112.1K - $120.8K
16% of jobs
$120.8K - $129.5K
16% of jobs
$132.1K is the 75th percentile. Wages above this are outliers.
$129.5K - $138.1K
15% of jobs
$138.1K - $146.8K
8% of jobs
$146.8K - $155.4K
6% of jobs
$60.2K
$118.7K
$155.4K
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.

$30/hr
Contractor
Re-posted 28 days ago
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996