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Remote Medicare Recovery Audit Contractor Jobs (NOW HIRING)

Pennant Services

Denials Management Specialist

$18.50 - $24.50/hr

... Contractor (SMRC), Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC ... Comfortable working independently in a remote environment while maintaining strong collaboration ...

Pennant Services

Denials Management Specialist

$18.50 - $24.50/hr

... Contractor (SMRC), Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC ... Comfortable working independently in a remote environment while maintaining strong collaboration ...

Boston Medical Center

Senior Manager Coding IP OP

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Additionally, it manages coding-related Recovery Audit Contractor (RAC) reviews, external coding audits, and coding-related denial responses to secure overall coding accuracy, compliance, and ...

Boston Medical Center

Senior Manager Coding IP OP

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Additionally, it manages coding-related Recovery Audit Contractor (RAC) reviews, external coding audits, and coding-related denial responses to secure overall coding accuracy, compliance, and ...

Exact Medicare

Medicare Sales Agent

Charlotte, NC · Remote

$50K - $150K/yr

Remote and/or Field-Based Position Overview We are seeking motivated, licensed, and results-driven Medicare Sales Agents to join our growing team as independent 1099 contractors. In this role, you ...

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Remote Medicare Recovery Audit Contractor information

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How much do remote medicare recovery audit contractor jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote medicare recovery audit contractor in the United States is $29.11, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $29.81 per hour, depending on experience, location, and employer.

What is the difference between Remote Medicare Recovery Audit Contractor vs Remote Medicare Claims Processor?

AspectRemote Medicare Recovery Audit ContractorRemote Medicare Claims Processor
Primary RoleAudits and reviews Medicare claims to identify overpayments or fraudProcesses and enters Medicare claims for payment
Required CredentialsKnowledge of Medicare policies, auditing experience, certifications like CPC or CPC-AMedical coding certifications, claims processing experience
Work EnvironmentRemote, government or contractor settingsRemote, healthcare insurance companies or government agencies
Industry UsageCommon in healthcare auditing and complianceCommon in healthcare administration and billing

The Remote Medicare Recovery Audit Contractor focuses on auditing Medicare claims to ensure compliance and recover overpayments, requiring auditing credentials. In contrast, the Remote Medicare Claims Processor handles the submission and processing of claims, emphasizing billing and coding skills. Both roles are remote and integral to Medicare operations but serve different functions within the healthcare payment process.

More about Remote Medicare Recovery Audit Contractor jobs

What cities are hiring for Remote Medicare Recovery Audit Contractor jobs?

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What are the most commonly searched types of Medicare Recovery Audit Contractor jobs?

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States with the most job openings for Remote Medicare Recovery Audit Contractor jobs include:

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The top searched job categories for Remote Medicare Recovery Audit Contractor jobs are:

Remote Medicare Recovery Audit Contractor jobs near you
Infographic showing various Remote Medicare Recovery Audit Contractor job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 22% Part Time, and 4% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $60,553 per year, or $29.1 per hour.

Healthcare Audit Analyst (Remote)

Cape Cod Healthcare Inc

Hyannis, NE • Remote

Contractor

Re-posted 11 days ago

Cape Cod Healthcare rating

6.7

Company rating: 6.7 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

531st of 888 rated healthcare providers

Job description

1. Develops systems and procedures for all government audits, gathers, compiles, organizes and documents relevant audit information.

2. Analyzes, consolidates and interprets audit data.

3. Present audit findings and all other relevant information to Senior Management, and/or the Audit Committee on an as needed basis.

4. Specific knowledge of Medicare Medicaid and commercial payer audit processes and time frames.

5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff.

6. Ensure compliance with all corporate standards and audit regulations as well as all CMS and commercial requirements.

7. Communicate with/educate external entities including the Centers for Medicare and Medicaid Services, Office of Inspector General, commercial payers, appellants and their authorized representatives.

8. Communicate effectively. This position displays effective communication skills while performing the following functions:

Verbal and written communication with Director and senior leadership, peers, departmental staff, and various corporate support departments

Verbal and written communication with external business partners including vendors, payer representatives, Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives

Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS), providers, and beneficiaries.

9. Identify opportunities, using Medicare policies and procedures, claims processing procedures and related data processing systems, to improve overall performance.

10. Coordinate activities and exchange of information with external business partners

11. Recommend, coordinate and initiate improvements to the process to achieve efficiency, cost reduction, productivity, and quality gains

12. Effectively utilizes audit tools. Utilizes with increasing proficiency, proprietary reports, tools and systems required to perform duties. With moderate guidance and direction,

timely executes assigned standard reports and updates. Working proficiency with all systems and applications including Decipher and client tools.

13. Coordinate provider education activities

14. Provide feedback to management on the status of audits in their section to ensure the department contributes toward the department meeting and exceeding all performance standards

15. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.

Associate's or bachelor's degree in Business or related field, or a combination of education and work experience;

One (1) to three (3) years of progressively more responsible healthcare experience

Experience with hospital information systems preferred.

Excellent interpersonal, problem solving, and critical thinking skills are required.

Excellent PC skills with a strong emphasis on the Outlook suite of products are required.

Excellent verbal and written communication skills are required.

Prior experience with analysis of government audits are a plus.

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