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Recovery Audit Contractor Jobs in Washington (NOW HIRING)

J29, Inc

Medical Reviewer, RN

Millersville, MD · On-site

... by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document ...

New

J29 Inc.

Medical Reviewer, RN

Millersville, MD · On-site +1

... by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document ...

J29 Inc.

Medical Reviewer, Coder

Millersville, MD · On-site +1

$18.25 - $24.25/hr

... by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document ...

Trinity Health

Physician Advisor

Silver Spring, MD · On-site

$98.65 - $147.98/hr

... recovery audit contractors. MINIMUM QUALIFICATIONS Graduate of an accredited medical school • Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine) Experience: • Five ...

Trinityhealth

Physician Advisor

Silver Spring, MD · On-site

$98.65 - $147.98/hr

... recovery audit contractors. MINIMUM QUALIFICATIONS Graduate of an accredited medical school Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine) Experience: Five years ...

Trinity Health

Physician Advisor

Silver Spring, MD

$98.65 - $147.98/hr

... recovery audit contractors. MINIMUM QUALIFICATIONS Graduate of an accredited medical school Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine) Experience: Five years ...

Trinity Health

Physician Advisor

Silver Spring, MD · On-site

$98.65 - $147.98/hr

... recovery audit contractors. MINIMUM QUALIFICATIONS Graduate of an accredited medical school • Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine) Experience: • Five ...

HITT Contracting

MEP Manager

Falls Church, VA · On-site

$95K - $135K/yr

... and recovery when appropriate. Audit MEP processes and procedures for adherence to program ... HITT Contracting offers a competitive total benefits and compensation package including performance ...

HITT Contracting, Inc.

MEP Manager

Falls Church, VA · On-site

$95K - $135K/yr

... and recovery when appropriate. Audit MEP processes and procedures for adherence to program ... HITT Contracting offers a competitive total benefits and compensation package including performance ...

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All JobsRecovery Audit Contractor JobsRecovery Audit Contractor Jobs in Washington

Recovery Audit Contractor information

See Washington salary details

$69.1K

$136.2K

$178.4K

How much do recovery audit contractor jobs pay per year?

As of Aug 8, 2026, the average yearly pay for recovery audit contractor in Washington is $136,178.00, according to ZipRecruiter salary data. Most workers in this role earn between $117,800.00 and $154,600.00 per year, depending on experience, location, and employer.

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 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 popular job titles related to Recovery Audit Contractor jobs in Washington? For Recovery Audit Contractor jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Recovery Audit Contractor jobs in Washington look for? The top searched job categories for Recovery Audit Contractor jobs in Washington are:
Recovery Audit Contractor jobs near you
Infographic showing various Recovery Audit Contractor job openings in Washington as of August 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 87% In-person, and 13% Hybrid job distribution, with an average salary of $136,178 per year, or $65.5 per hour.

Medical Reviewer, RN

J29, Inc

Millersville, MD • On-site

Other

Posted 2 days ago

New

Job description

Medical Reviewer, RN
About J29
J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to do great things for the benefit of those that need it most. The J29 mission supports not only our health and human service programs, but also the philanthropy efforts of our team. We are proud to continue our support to non-profit groups with critical missions as J29 continues to grow.
Key Responsibilities
RVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims-including Part A/B, DMEPOS, and Home Health/Hospice-to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document clear, accurate findings for each claim.
Reviewers participate in dispute resolution by re-examining claims and providing supporting documentation, support quality assurance through audits and ongoing training, and maintain compliance with CMS security and privacy standards. They also collaborate closely with key personnel to ensure consistency, accuracy, and continuous process improvement in all review activities.
Qualifications
  • 5+ years of direct medical coding or medical billing experience, specifically in a healthcare environment.
  • 3+ years working in a productivity-based claims or case working environment, out of a queued case management system.
  • 3+ years working remotely with various technology systems. Ideally, candidate will have 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program.
  • Active Medical Coding Certification (CPC, CCS or equivalent) required
  • Experience with low-code, no-code case management systems as an end-user is preferred but not required.
Education/Certification
  • Active license as a Registered Nurse, in good standing, in the United States (as verified by Nurses). Verified regularly.

J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. J29, Inc. is a proud Veteran friendly employer.
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About J29

Sourced by ZipRecruiter

Industry

Business management consulting

Company size

1 - 10 Employees

Headquarters location

Millersville, MD, US

Year founded

2017

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