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Recovery Audit Contractor Jobs in New York (NOW HIRING)

Finance Analyst

New York, NY · On-site

$65K - $75K/yr

... invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. The ... Generate regular billing and revenue reports for leadership review. * Assist with audits and ...

... invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. The ... Generate regular billing and revenue reports for leadership review. * Assist with audits and ...

Finance Analyst

New York, NY · On-site

$65K - $75K/yr

... invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. The ... Generate regular billing and revenue reports for leadership review. * Assist with audits and ...

Finance Analyst

Manhattan, NY · On-site

$65 - $75/hr

... invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. The ... Generate regular billing and revenue reports for leadership review. * Assist with audits and ...

Finance Analyst

Manhattan, NY · On-site

$65 - $75/hr

... invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. The ... Generate regular billing and revenue reports for leadership review. * Assist with audits and ...

Audit & Compliance*** Conduct regular pricing audits comparing contract pricing to supplier ... Work with Accounts Payable and vendors to recover credits and resolve discrepancies* Ensure ...

New

The role ensures audits and energy efficiency retrofit projects are scheduled, completed, and ... Acting as the primary liaison among contractors, auditors, field staff, program leadership, and ...

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Showing results 1-20

Recovery Audit Contractor information

See New York salary details

$66.7K

$131.5K

$172.3K

How much do recovery audit contractor jobs pay per year?

As of Sep 2, 2026, the average yearly pay for recovery audit contractor in New York is $131,542.00, according to ZipRecruiter salary data. Most workers in this role earn between $113,800.00 and $149,300.00 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 New York?

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

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

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

Infographic showing various Recovery Audit Contractor job openings in New York as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 15% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $131,542 per year, or $63.2 per hour.

Senior Compliance Auditor (JR229173)

ViziRecruiter,LLC.

Manhattan, NY • On-site

$70 - $90/hr

Other

Posted 15 days ago


Job description

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.

Overview

Safeguards Montefiore Medical Center revenue and reputation, through the following activities:

Responsibilities
  • NY Office of Medicaid Inspector General (OMIG)
  • Office of Inspector General (OIG)
  • Medicaid Fraud Control Unit (MFCU)
  • NY Attorney General (AG)
  • NY Department of Health (DOH)
  • Centers for Medicare and Medicaid Services (CMS)
  • National Government Services (NGS)
  • Medicaid Integrity Program Contractor (MIC)
  • Recovery Audit Contractor (RAC)
  • Zone Program Integrity Contractor (ZPIC)
  • Health Care Fraud Prevention and Enforcement Action Team (HEAT)
  • Communicates with external agencies regarding audits.
  • Participates in development of voluntary disclosures and repayments to federal and state agencies.
  • Coordinates, supervises, and performs medical record audits of documentation, coding and billing for technical and professional services, including:
    • CPT
    • ICD9
    • HCPCII
    • DRG
    • APC
    • APG
    • Modifiers
    • Teaching Physician Guidelines
    • Non-Physician Practitioner Documentation (including "incident-to" guidelines)
  • Conducts audits of electronic and manual documentation, coding, and billing systems.
  • Develops formal audit reports of findings and recommendations, which are presented to senior management of applicable department, the Executive Compliance Committee and the Board of Trustees.
  • Conducts close-out meetings with senior management of applicable department.
  • Coordinates audit activities with Internal Audit, as necessary.
  • Identifies compliance risk areas and develops action plans accordingly.
  • Develops and coordinates analysis of encounter forms and documentation templates.
  • Audits and enforces compliance policies and procedures.
  • Develops and conducts documentation, coding and billing curriculum and education classes for 500+ physicians, allied health professionals, and coding and billing associates annually, including:
    • One-on-one education sessions based on audit findings
    • Topic-specific group education
    • Mandatory Compliance education
    • Compliance Monthly education calendar sessions
    • Grand Rounds
    • Monthly Faculty Meetings
  • Assists in development and distribution of MediRegs risk assessments to various departments to determine inclusion in annual work plan.
  • Assists with distribution of all Medicare and DOH updates and code changes to the appropriate associates.
  • Facilitates responses to compliance-related inquiries (phone, e-mail, in-person).
Requirements
  • Bachelor Degree Required
  • Minimum 5 Years of Billing, Coding, and Documentation experience in a hospital setting Required
  • Coding certification (such as CCS, CPC, RHIA, RHIT)/ability to obtain within one year of hire Required.
  • Needs to be familiar with both facility and professional documentation, coding and billing rules and regulations.
  • Needs to be able to navigate registration, billing, and documentation systems with ease.
  • Knowledge of local, state, and federals rules and regulations.
  • Able to communicate with all level associates, including senior management and external agencies.
  • Excellent written and oral communication skills.
  • Highly organized and analytical individual needs to be able to function with a high level of independence, motivate and train associates while maintaining good working relationships.
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