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Recovery Audit Contractor Jobs (NOW HIRING)

J29, Inc

Medical Reviewer, RN

... 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, 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 ...

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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.

More about Recovery Audit Contractor jobs
What cities are hiring for Recovery Audit Contractor jobs? Cities with the most Recovery Audit Contractor job openings:
What are the most commonly searched types of Recovery Audit Contractor jobs? The most popular types of Recovery Audit Contractor jobs are:
What states have the most Recovery Audit Contractor jobs? States with the most job openings for Recovery Audit Contractor jobs include:
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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.

Medical Coding Auditor - Must have a NM Residence

UNM Medical Group, Inc.

Albuquerque, NM • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico.
*This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico*
*This position requires extensive knowledge and experience with E/M coding.
*$4,000 Sign-on Bonus*
Minimum $56,173 - Midpoint $70,217*
*Salary is determined based on years of total relevant experience.
*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.
Summary:
Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate medical billing conforms with legal and regulatory requirements. Trains, instructs and provides technical support to medical providers, support staff and medical coding personnel on accurate documentation supports billing and coding standards. Collaborates with hospital compliance and coding staff to ensure consistent training with medical providers on professional and facility services. Reviews, develops, and/or modifies procedures, systems and protocols to achieve and maintain compatibility with UNM Medical Group billing requirements and compliance standards. Assists management with the development of the annual work plan risk assessment and evaluates external payer record requests for reconsideration, appeals and rebuttals
Minimum Job Requirements of a Medical Coding Auditor:
High School diploma or GED with 5 years directly related experience; at least one of the following CPC, CCs, CCS-P, COC, RHIA or RHIT, CHONC. Certification or certificate eligible for Certified Professional Medical Auditor (CPMA). Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Verification of education and licensure will be required if selected for hire.
The UNM Medical Group (UNMMG) Coding Auditor position requires the candidate to either hold a Certified Professional Medical Auditor (CPMA) designation at the time of hire, or to secure such designation within 18 months of hire. UNMMG will pay for study materials and the cost of one exam, through the UNMMG Compliance Department budget.
*Must have E/M Coding experience
Duties and Responsibilities of a Medical Coding Analyst:
  1. Audits medical record documentation to identify undercoded and overcoded services, prepares reports and observations and meets with providers, support staff and coding personnel to provide education and training on accurate documentation and coding practices in compliance with regulatory requirements. Provides follow up audits when necessary.
  2. Reviews billing processes to ensure accurate reimbursement and compliance with regulatory and procedural policies including unbundling and other questionable practices.
  3. Researches, analyzes and responds to internal and external inquiries regarding compliance, inappropriate coding, denials and billable services.
  4. Interacts with physicians, other patient care providers, support staff and coding personnel regarding billing and documentation policies, procedures and regulations; obtains clarification on conflicting, ambiguous or non-specific documentation.
  5. Trains, instructs and/or provides medical providers, support staff and coding personnel as appropriate regarding documentation, regulatory provisions and third party payer requirements.
  6. Reviews, develops, modifies, and/or adapts relevant client procedures, protocols and data management systems to ensure that client billing requirements are met for professional and facility services.
  7. Assists management in the formulation of the annual work plan and formulates audit protocol to capture risks in audit schedule.
  8. Assists management in the review of external payer requests including but not limited to third party payers, Medicare Advantage plans, and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
  9. Collaborates with hospital compliance and coding staff to ensure that provider education and training for professional and facility services is accurate and consistent.
  10. Ensures strict confidentiality of medical and financial records.
  11. .Attends coding conferences, workshops and in-house sessions to receive updated coding and auditing information and changes to regulations.

Why Join UNM Medical Group, Inc.?
Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. Modern Healthcare recognizes UNMMG in their Best Places to Work recognition for 2025. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone.
Benefits:
  • Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
  • Insurance Coverage: Includes medical, dental, vision, and life insurance.
  • Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.

Apply