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Remote Medicare Recovery Audit Contractor Jobs (NOW HIRING)

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 ...

PharMerica

Medicare B Specialist

Louisville, KY · On-site +1

$19.58/hr

Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ... Responds to Medicare payer audits * Maintains a thorough knowledge of Medicare coverage criteria ...

BrightSpring

Medicare B Specialist

Louisville, KY · Remote

$25/hr

Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ... Responds to Medicare payer audits * Maintains a thorough knowledge of Medicare coverage criteria ...

Vero Networks

Fiber Designer

Denver, CO · On-site +1

$75K - $90K/yr

Audit contractor close-out packages to ensure fiber specifications are met and resolve any technical discrepancies with vendors. * Technical Support: Provide remote tier-2 and tier-3 technical ...

PharMerica

Medicare B Specialist

Louisville, KY · On-site +1

$19.58 - $25/hr

Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ... Responds to Medicare payer audits * Maintains a thorough knowledge of Medicare coverage criteria ...

Vero Networks

Fiber Designer

Denver, CO · Remote

$75K - $90K/yr

Audit contractor close-out packages to ensure fiber specifications are met and resolve any technical discrepancies with vendors. * Technical Support: Provide remote tier-2 and tier-3 technical ...

Healthpilot Technologies LLC

Be Seen First

Independent Medicare Agent (Remote)

Fort Worth, TX · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... Your book compounds in value over time, instead of churning 14+ Carriers Already Contracted

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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.

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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.

Medical Reviewer, Coder

J29 Inc.

Millersville, MD • On-site, Remote

$18.25 - $24.25/hr

Full-time

Posted 14 days ago

Job description

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
  • Experience with inpatient coding and DRG validation, including accuracy review, compliance monitoring, and reimbursement optimization.
  • 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.
  • Experience with low-code, no-code case management systems as an end-user is preferred but not required.

Education/Certification
  • Certified from an accredited association such as the American Association of Professional Coders (AAPC) or American Health Information Management Association (AHIMA). May also be Registered Health Information Administrators (RHIA) and Registered Health Information Technicians (RHIT); credentialed by AHIMA in their field of health information
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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