... Audit, hospital UM teams, system IPAS, managed ... care contracting, and legal. 3. Participate as a clinical expert in payer negotiations and ...
... Audit, hospital UM teams, system IPAS, managed ... care contracting, and legal. 3. Participate as a clinical expert in payer negotiations and ...
... Audit, hospital UM teams, system IPAS, managed ... care contracting, and legal. 3. Participate as a clinical expert in payer negotiations and ...
... Audit, hospital UM teams, system IPAS, managed ... care contracting, and legal. 3. Participate as a clinical expert in payer negotiations and ...
... ICAP (Contractor Payroll) Flextrack (Vendor Management System) * Solution and monitor wide area ... Architect and deploy data backup and recovery solutions. * Perform data backup and recovery ...
... ICAP (Contractor Payroll) Flextrack (Vendor Management System) * Solution and monitor wide area ... Architect and deploy data backup and recovery solutions. * Perform data backup and recovery ...
$30/hr
Estimates are used to support client recovery plans and resource applications. The Analyst ensures ... The role may also coordinate with contractors and volunteer labor groups to ensure appropriate ...
$30/hr
Estimates are used to support client recovery plans and resource applications. The Analyst ensures ... The role may also coordinate with contractors and volunteer labor groups to ensure appropriate ...
Financial Analyst Auditor 2
Warren, MI · On-site
Maintain accurate records of all recovery and audit activities. * Assist with ad hoc financial ... CONTRACTOR
Financial Analyst Auditor 2
Warren, MI · On-site
Maintain accurate records of all recovery and audit activities. * Assist with ad hoc financial ... CONTRACTOR
Perform data backup and recovery processes in accordance with the company's disaster recovery and ... audits in accordance with the company's IT security policy Participate in the Company's asset ...
Perform data backup and recovery processes in accordance with the company's disaster recovery and ... audits in accordance with the company's IT security policy Participate in the Company's asset ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
Data Warehouse Architect 5
Lansing, MI · On-site
Conduct data architecture reviews and audits. * Create and maintain comprehensive documentation for ... Develop and maintain disaster recovery and backup strategies. * Lead migration of Data Warehouse ...
Data Warehouse Architect 5
Lansing, MI · On-site
Conduct data architecture reviews and audits. * Create and maintain comprehensive documentation for ... Develop and maintain disaster recovery and backup strategies. * Lead migration of Data Warehouse ...
Data Warehouse Architect
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
Data Warehouse Architect
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
Teradata DW Architect
Lansing, MI · On-site
MI-163606 Hybrid/Local (Lansing ONLY) MI Govt Teradata DW Architect (5 page resume/15+) with audit ... The team currently consists of 2 State employees and 6 long-term contractors. It s a collaborative ...
Teradata DW Architect
Lansing, MI · On-site
MI-163606 Hybrid/Local (Lansing ONLY) MI Govt Teradata DW Architect (5 page resume/15+) with audit ... The team currently consists of 2 State employees and 6 long-term contractors. It s a collaborative ...
Data Warehouse Architect
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
Quick apply
Data Warehouse Architect
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
Data Warehouse Architect
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
Data Warehouse Architect
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
Data Warehouse Architect
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
New
Data Warehouse Architect
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
New
Overview: The team currently consists of 2 State employees and 6 long-term contractors. It's a ... Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ...
Overview: The team currently consists of 2 State employees and 6 long-term contractors. It's a ... Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ...
Direct Client: Senior Teradata Data Warehouse Administrator @ Lansing, MI Hybrid Only Locals
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
Direct Client: Senior Teradata Data Warehouse Administrator @ Lansing, MI Hybrid Only Locals
Lansing, MI · On-site
Conduct data architecture reviews and audits to ensure alignment with enterprise standards * Create ... Develop and maintain disaster recovery and backup strategies for data systems * Lead efforts to ...
... audits to ensure alignment with enterprise standards · Create and maintain comprehensive ... The team currently consists of 2 State employees and 6 long-term contractors. It's a collaborative ...
... audits to ensure alignment with enterprise standards · Create and maintain comprehensive ... The team currently consists of 2 State employees and 6 long-term contractors. It's a collaborative ...
... 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 ...
... 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 ...
Recovery Audit Contractor information
See Michigan salary details
$53.2K - $60.8K
0% of jobs
$60.8K - $68.5K
2% of jobs
$68.5K - $76.1K
4% of jobs
$76.1K - $83.8K
7% of jobs
$91.2K is the 25th percentile. Wages below this are outliers.
$83.8K - $91.4K
12% of jobs
$91.4K - $99K
14% of jobs
The median wage is $104.4K / yr.
$99K - $106.7K
16% of jobs
$106.7K - $114.3K
16% of jobs
$116.7K is the 75th percentile. Wages above this are outliers.
$114.3K - $122K
15% of jobs
$122K - $129.6K
8% of jobs
$129.6K - $137.3K
6% of jobs
$53.2K
$104.8K
$137.3K
How much do recovery audit contractor jobs pay per year?
As of Jul 26, 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 type of auditor gets paid the most?
In the auditing field, senior or lead auditors typically earn the highest salaries due to their experience and responsibility levels. Recovery Audit Contractors, who specialize in identifying overpayments and fraud in healthcare claims, often earn more when they have extensive industry knowledge, certifications like CPA or CIA, and experience managing complex audits. Compensation varies based on experience, location, and the scope of work performed.
What does a recovery audit contractor do?
A recovery audit contractor reviews healthcare claims and billing data to identify and recover improper payments made by government health programs. They analyze financial records, use auditing tools, and ensure compliance with regulations to recover funds owed to the government. The role often requires knowledge of healthcare billing, auditing standards, and attention to detail.
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.
How are RACs paid for their services?
Recovery Audit Contractors (RACs) are typically paid on a contingency fee basis, receiving a percentage of the overpayments they identify and recover for Medicare or other payers. Their compensation depends on the amount of money recovered and is usually paid after successful claims adjustments or recoveries are made.
What are the key skills and qualifications needed to thrive in the Recovery Audit Contractor position, 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.
How are recovery audit contractors paid?
Recovery audit contractors are typically paid on a contingency basis, earning a percentage of the recovered funds they identify and correct. This performance-based pay structure incentivizes auditors to find and recover overpayments or underpayments for healthcare providers or organizations.
What is a Recovery Audit Contractor job?
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 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:
Medical Director - Clinical Denial Recovery Unit (CDRU)/Payor Audit
Detroit, MI • On-site
Full-time
Posted 27 days ago
Henry Ford Health rating
6.9
Based on 559 frontline employees who took The Breakroom Quiz
454th of 890 rated healthcare providers
Job description
GENERAL SUMMARY:
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.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Oversee a comprehensive value-driven centralized denial management process.
2. In collaboration with executive and administrative partners, provide clinical expertise to CDRU, Payor Audit, hospital UM teams, system IPAS, managed care contracting, and legal.
3. 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.
4. Standardize and oversee a comprehensive reliability-driven process for status determination in concert with site level physician advisors.
5. Prepare and analyze denial metrics and make recommendations for process improvements.
6. Provide feedback to system IPAS regarding denial trends, opportunities for improvement, and payor practices.
7. Report out metrics and initiatives at Medical Executive and Executive Leadership meetings as requested.
8. Assist the manager of CDRU, UM Director, and Director of Payor Audit with preparation of case escalations for payer negotiations.
9. Assist the CDRU RN staff with medical necessity appeals for complex medical cases.
10. Maintain a working knowledge of applicable Federal, State and local laws and regulations, initiatives, and expectations as set by payers and CMS.
11. Collaborate with accountable leaders to develop processes that ensure consistent feedback for all involved care providers regarding specific denial mitigation strategies and performance results.
#PR
EDUCATION/EXPERIENCE REQUIRED:
• Graduate of an accredited medical school, completion of a three (3) year U.S. residency program, and board certified in their specialty.
• Minimum seven (7) years of clinical practice as a physician.
• Previous performance-based leadership experience preferred.
#PR
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.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Oversee a comprehensive value-driven centralized denial management process.
2. In collaboration with executive and administrative partners, provide clinical expertise to CDRU, Payor Audit, hospital UM teams, system IPAS, managed care contracting, and legal.
3. 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.
4. Standardize and oversee a comprehensive reliability-driven process for status determination in concert with site level physician advisors.
5. Prepare and analyze denial metrics and make recommendations for process improvements.
6. Provide feedback to system IPAS regarding denial trends, opportunities for improvement, and payor practices.
7. Report out metrics and initiatives at Medical Executive and Executive Leadership meetings as requested.
8. Assist the manager of CDRU, UM Director, and Director of Payor Audit with preparation of case escalations for payer negotiations.
9. Assist the CDRU RN staff with medical necessity appeals for complex medical cases.
10. Maintain a working knowledge of applicable Federal, State and local laws and regulations, initiatives, and expectations as set by payers and CMS.
11. Collaborate with accountable leaders to develop processes that ensure consistent feedback for all involved care providers regarding specific denial mitigation strategies and performance results.
#PR
EDUCATION/EXPERIENCE REQUIRED:
• Graduate of an accredited medical school, completion of a three (3) year U.S. residency program, and board certified in their specialty.
• Minimum seven (7) years of clinical practice as a physician.
• Previous performance-based leadership experience preferred.
#PR
What Henry Ford Health employees say
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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