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Recovery Audit Contractor Jobs in Michigan (NOW HIRING)

Lthc

Reimbursement Analyst II/III

Dewitt, MI

Works with Provider Contracting on reimbursement implementations to ensure provider contracts are ... These audits include charge creep, cost plus, outpatient formula, and capital audits, according to ...

Lthc

Reimbursement Analyst II/III

Dewitt, MI · On-site

Works with Provider Contracting on reimbursement implementations to ensure provider contracts are ... These audits include charge creep, cost plus, outpatient formula, and capital audits, according to ...

Lthc

Reimbursement Analyst II/III

Dewitt, MI

Works with Provider Contracting on reimbursement implementations to ensure provider contracts are ... These audits include charge creep, cost plus, outpatient formula, and capital audits, according to ...

Kingscott

Construction Administrator

Detroit, MI · Hybrid

... audit-ready. Review contractor applications for payment for accuracy and contract compliance. 3. ... recovery plans when needed. Monitor construction budgets and change order trends. Support cost ...

FastTek

System Analyst

Lansing, MI · On-site

The selected contractor will be responsible for the administration, maintenance, troubleshooting ... Support disaster recovery, backup validation, and system recovery activities. * Maintain technical ...

Kingscott

Construction Administrator

Detroit, MI · On-site

... and audit-ready. • Review contractor applications for payment for accuracy and contract ... recovery plans when needed. • Monitor construction budgets and change order trends. • Support ...

Prolim Global

REDcap Administrator/ Analyst

Lansing, MI · On-site

The selected contractor will be responsible for the administration, maintenance, troubleshooting ... Support disaster recovery, backup validation, and system recovery activities. * Maintain technical ...

JCPenney

Asset Protection Associate

Roseville, MI · On-site

$15 - $20/hr

... contractors suspected of theft. Reports suspected fraud (i.e., credit / check and refund fraud) and ... May assist with Asset Protection audits. Coaches associates on keeping work areas and sales floor ...

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Recovery Audit Contractor information

See Michigan salary details

$53.2K

$104.8K

$137.3K

How much do recovery audit contractor jobs pay per year?

As of Aug 22, 2026, the average yearly pay for recovery audit contractor in Michigan is $104,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $90,600.00 and $119,000.00 per year, depending on experience, location, and employer.

What is a recovery audit contractor?

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.

What are some typical challenges faced by recovery audit contractors in their daily work?

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.

What are the key skills and qualifications needed to thrive as a recovery audit contractor, and why are they important?

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.

What are popular job titles related to Recovery Audit Contractor jobs in Michigan?

For Recovery Audit Contractor jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Recovery Audit Contractor jobs in Michigan look for?

The top searched job categories for Recovery Audit Contractor jobs in Michigan are:

Recovery Audit Contractor jobs near you
Infographic showing various Recovery Audit Contractor job openings in Michigan as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 96% In-person, and 4% Hybrid job distribution, with an average salary of $104,797 per year, or $50.4 per hour.

Medical Director - Clinical Denial Recovery Unit (CDRU)/Payor Audit

Henry Ford Hospital

Detroit, MI • On-site

Other

This job post has expired today. Applications are no longer accepted.

Henry Ford Health rating

7.0

Company rating: 7.0 out of 10

Based on 566 frontline employees who took The Breakroom Quiz

414th of 891 rated healthcare providers

Job description

Clinical Denial Recovery Unit Director

Reports to the Chief Utilization Officer (CUO) of Henry Ford Health, responsible for Clinical Denial Recovery Unit (CDRU) operations. Responsible for strategic and operational leadership and oversight of programs and initiatives including denials management, performance improvement, regulatory, compliance, and risk with an expectation of national top decile performance. This system role includes physician oversight and clinical input for post-discharge medical necessity denials at all HFHS acute care facilities.

Oversee a comprehensive value-driven centralized denial management process.

In collaboration with executive and administrative partners, provide clinical expertise to CDRU, Payor Audit, hospital UM teams, system IPAS, managed care contracting, and legal.

Participate as a clinical expert in payer negotiations and escalations, Accounts Receivable Reconciliation Group (AARGs) and Medical Director Meetings (MDMs), and during Administrative Law Judge (ALJ) hearings for denied cases.

Standardize and oversee a comprehensive reliability-driven process for status determination in concert with site level physician advisors.

Prepare and analyze denial metrics and make recommendations for process improvements.

Provide feedback to system IPAS regarding denial trends, opportunities for improvement, and payor practices.

Report out metrics and initiatives at Medical Executive and Executive Leadership meetings as requested.

Assist the manager of CDRU, UM Director, and Director of Payor Audit with preparation of case escalations for payer negotiations.

Assist the CDRU RN staff with medical necessity appeals for complex medical cases.

Maintain a working knowledge of applicable Federal, State and local laws and regulations, initiatives, and expectations as set by payers and CMS.

Collaborate with accountable leaders to develop processes that ensure consistent feedback for all involved care providers regarding specific denial mitigation strategies and performance results.

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About Henry Ford Health

Sourced by ZipRecruiter

Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915

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