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Recovery Audit Contractor Jobs in New York (NOW HIRING)

Jzanus Consulting

Nurse Auditor

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 ...

Kimcorealty

Property Recoveries Analyst

Jericho, NY · On-site

$65K - $70K/yr

*****Unless specifically contracted, resumes from recruiting agencies are not being accepted for this ... Review of recovery setup and maintenance deliverables for accuracy, completeness, and alignment ...

Covetit

IT Auditor

Manhattan, NY · Hybrid

... IT Audit * Proficient with Excel and PowerPoint Activities of the Senior IT Auditor (Contractor ... recovery, business applications, CyberSecurity, Outsourcing processes, data governance and ...

Cipla

EHS Specialist

Hauppauge, NY · On-site

$76K - $103K/yr

Audits & Regulatory Readiness * Plan and perform internal EHS audits; coordinate external audits ... Contractor & Project Safety * Pre-qualify contractors, review site-specific safety plans, and ...

Cipla

EHS Specialist

Hauppauge, NY

$76K - $103K/yr

Audits & Regulatory Readiness Plan and perform internal EHS audits; coordinate external audits and ... Contractor & Project Safety Pre-qualify contractors, review site-specific safety plans, and manage ...

Seneca

Data Center Manager

Manhattan, NY · On-site

$55/hr

Design, implement, and regularly test disaster recovery and business continuity plans to ensure ... Conduct regular audits to ensure system reliability, efficiency, and compliance. * Manage data ...

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Recovery Audit Contractor information

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$66.7K

$131.5K

$172.3K

How much do recovery audit contractor jobs pay per year?

As of May 28, 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 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 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.

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.
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Recovery Audit Contractor jobs near you
Infographic showing various Recovery Audit Contractor job openings in New York as of May 2026, with employment types broken down into 4% As Needed, 81% Full Time, 11% Part Time, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $131,542 per year, or $63.2 per hour.

Nurse Auditor

Jzanus Consulting

Garden City, NY • On-site

$87K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Job description

JOB SUMMARY:

The Nurse Auditor will have full responsibility to audit patient charts (i.e., medical record) and respond to insurance denials. The audit is conducted to ensure that the clinical documentation contained within the patient chart supports items and services that appear on the patient’s bill, and to ensure that all items and services provided are included on the patient bill. Where clinical documentation does not support items appearing on the bill, the Nurse Auditor will prepare a report of exceptions and offer solutions. The Nurse Auditor will ensure complete and timely responses to the requestor of the audit.

QUALIFICATIONS:

Associates or Bachelor of Science in Nursing required.

Strong Computer and software skills required for effective remote work.

Registered Nurse licensed in New York preferred.

3+ years’ experience in hospital setting preferred.

Auditing experience preferred.

Knowledge of CPT/HCPCS procedural coding and Charge Description Masters strongly preferred.

Experience with PCs, word processing, spreadsheet, graphics, and database software applications is desired.

Ability to work independently & cooperatively, efficiently, and accurately prioritizing varying workloads required.

Strong quantitative, analytical, and organization skills required.

Must be able to understand all ancillary department functions.

Must be able to understand insurance terms (i.e. HMO/PP, EOB, stop loss, etc.) and payment methodologies. Excellent communication skills required. Positive attitude to work effectively with staff and clients required.

SPECIFIC ESSENTIAL FUNCTIONS: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 requested audits and charge capture auditing.
    2. Audits and reconciles services and items included in the patient’s chart with services and items included on the patient’s bill in a timely manner. Where exceptions are noted, suggested solutions are offered.
    3. Identifies and prepares charges to be corrected on accounts.
    4. Pre-reviews accounts being audited by Government Agencies.
    5. Meets required timelines for all audit activities.
    6. Works fluidly with Audit Team to communicate audit results.
    7. Reviews medical records for accuracy and billing compliance as support for billers and coders, for medical necessity and where appropriate works through the hospital HIM and financial departments to identify physician and clinic practices that require improved documentation.
    8. Organizes and reconciles daily work drivers to ensure accountability of all audits assigned and to ensure audits are worked in proper priority.
    9. Keeps updated on various billing rules to ensure charges that are identified in audits are split and rebilled properly.
    10. Conducts trend analyses to identify patterns in audit requests and outcomes for medical necessity, coding and billing practices.
    11. Functions as a liaison to resolve any related charge/coding issues or problems that occur in or are identified during the audit process.
    12. Instructs and teaches. Performs ancillary service quality assurance reviews and audits, and meets with the Managers and staff to instruct and inform on documentation findings to increase accuracy in billing; recommends solutions to improve charge capture accuracy.
    13. Excellent communication skills necessary to deal with many departments regarding billing issues and required solutions.
    14. Performs other duties as assigned.

Job Type: Full-time

Pay: From $87,000.00 per year

Benefits:

401(k)

401(k) matching

Dental insurance

Flexible schedule

Health insurance

Life insurance

Paid time off

Vision insurance

Schedule:

Monday to Friday

License/Certification:

RN License (Required)

Ability to Relocate:

West Hempstead, NY 11552: Relocate before starting work (Required)

Work Location: Hybrid remote in West Hempstead, NY 11552

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