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Recovery Audit Contractor information

See Texas salary details

$56.8K

$112K

$146.7K

How much do recovery audit contractor jobs pay per year?

As of Aug 2, 2026, the average yearly pay for recovery audit contractor in Texas is $112,018.00, according to ZipRecruiter salary data. Most workers in this role earn between $96,900.00 and $127,200.00 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 the most commonly searched types of Recovery Audit Contractor jobs in Texas? The most popular types of Recovery Audit Contractor jobs in Texas are:
What are popular job titles related to Recovery Audit Contractor jobs in Texas? For Recovery Audit Contractor jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Recovery Audit Contractor jobs in Texas look for? The top searched job categories for Recovery Audit Contractor jobs in Texas are:
Recovery Audit Contractor jobs near you
Infographic showing various Recovery Audit Contractor job openings in Texas as of July 2026, with employment types broken down into 1% Locum Tenens, 90% Full Time, 6% Part Time, 1% Temporary, and 2% Contract. Highlights an 85% Physical, 6% Hybrid, and 9% Remote job distribution, with an average salary of $112,018 per year, or $53.9 per hour.

Patient Account Specialist Lead - Cardiology

CHRISTUS Health

Texarkana, TX • On-site

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 526 frontline employees who took The Breakroom Quiz

530th of 887 rated healthcare providers

Job description

Description

Summary:

Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection.

This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Patient and client satisfaction is essential. Associates in the collection units are expected to knave knowledge of the overall collection work processes for both active AR and BD inventory.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives.
  • Understands and adheres to all policies and procedures, as well as local, state, and federal regulations, relevant to their area of operation.
  • Documents and updates patient account information in TLRA’s collection software system timely and accurate to include appropriate account status.
  • Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and request.
  • Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.
  • Performs research and analysis of account issues and strives to resolve problems timely and accurately.
  • Ensure daily productivity standards are met.
  • Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.
  • Thorough understanding of Medicare/Medicaid guidelines and procedures for billing, collections, and appeals.
  • Understanding and exposure to Medicare Recovery Audit Contractor.
  • Knowledgeable in locating and referencing CMS and/or Medicare Regulations.
  • General hospital A/R accounts knowledge is required.
  • Solid knowledge and utilization of desktop applications including Word and Excel are essential.
  • Performs other special projects as required when assigned.

Collections – Traditional Government Insurance

  • Maintains active knowledge of all collection requirements by payors.
  • Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices. Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.
  • Ensures established quality standards are met and proper documentation regarding patient accounting records.
  • Contact other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing.
  • Provides effective and timely collection services ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives.
  • Validates claim payments to ensure claims are paid according to contract and/or payment methodology guidelines.
  • Correct claims in RTP status in either CCSM or DDe per Medicare guidelines.
  • Initiate Medicare Redetermination, Reopening, and/or Reconsideration as needed.

Job Requirements:

Education/Skills

  • High School or equivalent years of experience required.

Experience

  • 5 – 7 years of experience preferred.

  • Experience with the Medicare billing process.

  • College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.

Licenses, Registrations, or Certifications

  • None required.

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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