Chief Audit Officer
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ... cost audit recoveries to the Audit Committee. * Establish quality assurance program for the ...
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ... cost audit recoveries to the Audit Committee. * Establish quality assurance program for the ...
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ... cost audit recoveries to the Audit Committee. * Establish quality assurance program for the ...
Act as physician representation supporting the organization in reviewing and refuting regulatory reviews for Inpatient medical necessity (e.g., Recovery Audit Contractor (RAC), Quality Improvement ...
Act as physician representation supporting the organization in reviewing and refuting regulatory reviews for Inpatient medical necessity (e.g., Recovery Audit Contractor (RAC), Quality Improvement ...
Act as physician representation supporting the organization in reviewing and refuting regulatory reviews for Inpatient medical necessity (e.g., Recovery Audit Contractor (RAC), Quality Improvement ...
Act as physician representation supporting the organization in reviewing and refuting regulatory reviews for Inpatient medical necessity (e.g., Recovery Audit Contractor (RAC), Quality Improvement ...
$22.25 - $27.50/hr
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
$22.25 - $27.50/hr
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient ...
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
This involves a timely and accurate review of medical records in response to claim denials received from third party payers, Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC ...
Annapolis Junction, MD · On-site
$83K/yr
Quality of care review experience or medical review experience in support of Medicare Administrative Contractor (MAC) or Recovery Audit Contractor (RAC) appeals. Experience performing pre- and post ...
Annapolis Junction, MD · On-site
$83K/yr
Quality of care review experience or medical review experience in support of Medicare Administrative Contractor (MAC) or Recovery Audit Contractor (RAC) appeals. Experience performing pre- and post ...
$32.44 - $50.28/hr
... Recovery Audit Contractor (RAC). • Acts as the case management liaison for participation on the RAC teams. • Prepares multi-level written appeals. • Provides second level review for non ...
$32.44 - $50.28/hr
... Recovery Audit Contractor (RAC). • Acts as the case management liaison for participation on the RAC teams. • Prepares multi-level written appeals. • Provides second level review for non ...
Herrin, IL · On-site
$32.44 - $50.28/hr
... Recovery Audit Contractor (RAC). • Acts as the case management liaison for participation on the RAC teams. • Prepares multi-level written appeals. • Provides second level review for non ...
Herrin, IL · On-site
$32.44 - $50.28/hr
... Recovery Audit Contractor (RAC). • Acts as the case management liaison for participation on the RAC teams. • Prepares multi-level written appeals. • Provides second level review for non ...
Establish a process to respond to RACs (Recovery Audit Contractors) from Medicare. Review medical records to assure accurate level of care, completeness of plan of care, and to support the billable ...
Establish a process to respond to RACs (Recovery Audit Contractors) from Medicare. Review medical records to assure accurate level of care, completeness of plan of care, and to support the billable ...
Blue Ash, OH · On-site
$32 - $43/hr
Establish a process to respond to RACs (Recovery Audit Contractors) from Medicare. Review medical records to assure accurate level of care, completeness of plan of care, and to support the billable ...
Blue Ash, OH · On-site
$32 - $43/hr
Establish a process to respond to RACs (Recovery Audit Contractors) from Medicare. Review medical records to assure accurate level of care, completeness of plan of care, and to support the billable ...
Danbury, CT · On-site
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Danbury, CT · On-site
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Quick apply
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Quick apply
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Danbury, CT · On-site
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Danbury, CT · On-site
Conducts verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. * Maintain ...
Silver Spring, MD · On-site
$98.65 - $147.98/hr
Conduct verbal and written peer-to-peer reviews to support appeals for denied or downgraded coverage determinations from managed care, commercial payers, and recovery audit contractors. MINIMUM ...
Quick apply
Silver Spring, MD · On-site
$98.65 - $147.98/hr
Conduct verbal and written peer-to-peer reviews to support appeals for denied or downgraded coverage determinations from managed care, commercial payers, and recovery audit contractors. MINIMUM ...
Blue Ash, OH · On-site
$33.25 - $45/hr
Establish a process to respond to RACs (Recovery Audit Contractors) from Medicare. Review medical records to assure accurate level of care, completeness of plan of care, and to support the billable ...
Blue Ash, OH · On-site
$33.25 - $45/hr
Establish a process to respond to RACs (Recovery Audit Contractors) from Medicare. Review medical records to assure accurate level of care, completeness of plan of care, and to support the billable ...
$61K - $69.8K
0% of jobs
$69.8K - $78.5K
2% of jobs
$78.5K - $87.3K
4% of jobs
$87.3K - $96.1K
7% of jobs
$104.7K is the 25th percentile. Wages below this are outliers.
$96.1K - $104.9K
12% of jobs
$104.9K - $113.6K
14% of jobs
The median wage is $119.8K / yr.
$113.6K - $122.4K
16% of jobs
$122.4K - $131.2K
16% of jobs
$133.8K is the 75th percentile. Wages above this are outliers.
$131.2K - $140K
15% of jobs
$140K - $148.7K
8% of jobs
$148.7K - $157.5K
6% of jobs
$61K
$120.2K
$157.5K
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.
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.
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.

Sourced by ZipRecruiter
1,001 - 5,000 Employees
Dallas, TX, US
1983