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Recovery Audit Contractor Jobs (NOW HIRING)

Adventist Health

RN, MDS Coordinator

Sonora, CA · On-site

$41 - $49.50/hr

Assists the Recovery Audit Contractor (RAC) in completion of necessary audits. * Notifies IDT of patient schedule conference and of the Assessment Reference Data (ARD). * Provides new admissions with ...

Adventist Health

RN, MDS Coordinator

Sonora, CA · On-site

$52.62 - $72.18/hr

Assists the Recovery Audit Contractor (RAC) in completion of necessary audits. * Notifies IDT of patient schedule conference and of the Assessment Reference Data (ARD). * Provides new admissions with ...

Performant

HCS Customer Service Specialist II (SCA)

$19/hr

Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program. * Healthcare and insurance terminology knowledge preferred but not required. * Flexibility to ...

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How much do recovery audit contractor jobs pay per year?

As of Aug 11, 2026, the average yearly pay for recovery audit contractor in the United States is $120,236.00, according to ZipRecruiter salary data. Most workers in this role earn between $104,000.00 and $136,500.00 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.

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What cities are hiring for Recovery Audit Contractor jobs? Cities with the most Recovery Audit Contractor job openings:
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Recovery Audit Contractor jobs near you
Infographic showing various Recovery Audit Contractor job openings in the United States 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 $120,236 per year, or $57.8 per hour.

RN, MDS Coordinator

Adventist Health

Sonora, CA • On-site

$41 - $49.50/hr

Other

Re-posted 11 days ago

Adventist Health rating

7.7

Company rating: 7.7 out of 10

Based on 243 frontline employees who took The Breakroom Quiz

158th of 887 rated healthcare providers

Job description


Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown. The allure of Sonora's close-knit community is complimented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe.
Job Summary:
Coordinates and leads the inputting of Minimum Data Set (MDS) data into the organizational database. Ensures the documentation of departmental admissions and discharges. Ensures all MDS assessment forms are completed for all residents in certified nursing homes. Ensures required assessments for residents, within specific guidelines and time frames, are met. Coordinates small program(s) with limited budget/impact.
Job Requirements:
Education and Work Experience:
  • Bachelor's Degree in Nursing (BSN): Preferred
Licenses/Certifications:
  • Registered Nurse (RN) licensure in the state of practice: Required
Essential Functions:
  • Assigns and leads the Assessment Reference Data (ARD) and starts the schedule of assessments upon resident admission. Coordinates and ensures processing of ARD's prior to deadline. Ensures the Interdisciplinary Team (IDT) is notified of assessment dates.
  • Coordinates work with the Resident Assessment Coordinator. Transmits MDS data on a weekly basis to appropriate agencies.
  • Assists with ensuring the Resource Utilization Group (RUG) category information on Medicare residents is forwarded to the business office in a timely manner. Assists the Recovery Audit Contractor (RAC) in completion of necessary audits.
  • Notifies IDT of patient schedule conference and of the Assessment Reference Data (ARD).
  • Provides new admissions with the unit admission packet within 72 hours of admission. Places pertinent admission paperwork in the patient record.
  • Performs other job-related duties as assigned.

Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
About Us
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

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