Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina ... Manage audit requests, including Recovery Audit Contractor (RAC) and governmental audits, ensuring ...
Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina ... Manage audit requests, including Recovery Audit Contractor (RAC) and governmental audits, ensuring ...
... medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
... medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ... If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ... If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ... If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program ... If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at ...
This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
Quick apply
This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
Quick apply
This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
This opportunity is a REMOTE , full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
Quick apply
This opportunity is a REMOTE , full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
This opportunity is a REMOTE , full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
This opportunity is a REMOTE , full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico ... and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... remote utilization review and physician advisory services. * Serve as chair of the Lee Health ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... remote utilization review and physician advisory services. * Serve as chair of the Lee Health ...
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 ...
Audit Manager - Single Audits (REMOTE)
Philadelphia, PA · Remote
$100K - $120K/yr
... and contracted partners. Frequency varies for text messages. Message and data rates may apply ... audit-compliance #tier4
Audit Manager - Single Audits (REMOTE)
Philadelphia, PA · Remote
$100K - $120K/yr
... and contracted partners. Frequency varies for text messages. Message and data rates may apply ... audit-compliance #tier4
Every facility in the Advanced Recovery Systems network strives to provide the highest quality of ... Conduct quality control audits of files and take necessary actions to remediate and prevent future ...
Quick apply
Every facility in the Advanced Recovery Systems network strives to provide the highest quality of ... Conduct quality control audits of files and take necessary actions to remediate and prevent future ...
Every facility in the Advanced Recovery Systems network strives to provide the highest quality of ... Conduct quality control audits of files and take necessary actions to remediate and prevent future ...
Every facility in the Advanced Recovery Systems network strives to provide the highest quality of ... Conduct quality control audits of files and take necessary actions to remediate and prevent future ...
(Remote) Provider Contracting & Credentialing Coordinator
Weston, FL · On-site +1
$21/hr
Every facility in the Advanced Recovery Systems network strives to provide the highest quality of ... Conduct quality control audits of files and take necessary actions to remediate and prevent future ...
(Remote) Provider Contracting & Credentialing Coordinator
Weston, FL · On-site +1
$21/hr
Every facility in the Advanced Recovery Systems network strives to provide the highest quality of ... Conduct quality control audits of files and take necessary actions to remediate and prevent future ...
Senior Audit Manager (Remote)
Tampa, FL · On-site +1
$150K - $200K/yr
Senior Audit Manager (Remote) / $$$ / Rapidly Growing firm and Audit Practice / GAAP and GAAS This ... and contracted partners. Frequency varies for text messages. Message and data rates may apply.
Senior Audit Manager (Remote)
Tampa, FL · On-site +1
$150K - $200K/yr
Senior Audit Manager (Remote) / $$$ / Rapidly Growing firm and Audit Practice / GAAP and GAAS This ... and contracted partners. Frequency varies for text messages. Message and data rates may apply.
REMOTE Summary of Position * Responsible for leading and optimizing the organization's secondary ... Responsible for vendor relationships and recovery audit processes, as applicable. * Develop and ...
REMOTE Summary of Position * Responsible for leading and optimizing the organization's secondary ... Responsible for vendor relationships and recovery audit processes, as applicable. * Develop and ...
Manage external Medicare, Medicaid (including Child Health Plus) and commercial product-related audit efforts, including audits from CMS and its audit contractors/consultants, HHS OIG, NYS DOH, NYS ...
Manage external Medicare, Medicaid (including Child Health Plus) and commercial product-related audit efforts, including audits from CMS and its audit contractors/consultants, HHS OIG, NYS DOH, NYS ...
Lead Audit Specialist - Remote
New York, NY · On-site +1
$77K - $149K/yr
Manage external Medicare, Medicaid (including Child Health Plus) and commercial product-related audit efforts, including audits from CMS and its audit contractors/consultants, HHS OIG, NYS DOH, NYS ...
Lead Audit Specialist - Remote
New York, NY · On-site +1
$77K - $149K/yr
Manage external Medicare, Medicaid (including Child Health Plus) and commercial product-related audit efforts, including audits from CMS and its audit contractors/consultants, HHS OIG, NYS DOH, NYS ...
Remote Recovery Audit Contractor information
See salary details
$30.5K - $38.4K
4% of jobs
$38.4K - $46.3K
14% of jobs
$48.6K is the 25th percentile. Wages below this are outliers.
$46.3K - $54.2K
24% of jobs
The median wage is $60.8K / yr.
$54.2K - $62.1K
9% of jobs
$62.1K - $70K
7% of jobs
$70K - $78K
6% of jobs
$78K - $85.9K
6% of jobs
$92.3K is the 75th percentile. Wages above this are outliers.
$85.9K - $93.8K
4% of jobs
$93.8K - $101.7K
6% of jobs
$101.7K - $109.6K
6% of jobs
$109.6K - $117.5K
12% of jobs
$30.5K
$72.6K
$117.5K
How much do remote recovery audit contractor jobs pay per year?
What are the main challenges faced by a Remote Recovery Audit Contractor and how can they be overcome?
What is the difference between Remote Recovery Audit Contractor vs Remote Healthcare Auditor?
| Aspect | Remote Recovery Audit Contractor | Remote Healthcare Auditor |
|---|---|---|
| Credentials | CPAR certification often preferred | CPAR, CHAP, or similar healthcare-specific certifications |
| Work Environment | Remote, contract-based, healthcare industry | Remote, healthcare industry focus |
| Employer & Industry Usage | Healthcare payers, government agencies, insurance companies | Hospitals, healthcare providers, insurance companies |
| Primary Focus | Identifying and recovering overpaid healthcare claims | Auditing healthcare records and billing for compliance |
The main difference is that a Remote Recovery Audit Contractor primarily focuses on recovering overpaid healthcare claims through audits, while a Remote Healthcare Auditor reviews healthcare records and billing for compliance and accuracy. Both roles require healthcare industry knowledge and certifications but serve different functions within healthcare finance and compliance.
What are Remote Recovery Audit Contractors?
What are the key skills and qualifications needed to thrive as a Remote Recovery Audit Contractor, and why are they important?

Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Bozeman Health rating
7.3
Based on 23 frontline employees who took The Breakroom Quiz
Job description
Remote Work Approved States:
Arizona
Florida
Georgia
Idaho
Iowa
South Dakota
Texas
South Carolina
Wisconsin
North Carolina
Michigan
*If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position.
Position Summary:
The Revenue Cycle Denial Specialist reviews, analyzes, and resolves post-billed denials and rejections for hospital and professional claims to support accurate reimbursement and denial prevention. This role applies expertise in payer requirements, government regulations, and appeal processes to determine root cause, validate denial rationale, and drive corrective actions. The specialist prepares and manages appeals within required timelines, collaborates across departments to reduce avoidable denials, and provides reporting and education to support system-wide revenue cycle performance. Provides reporting, analysis, and coordination support for the Denial Steering Committee and Task Force to drive denial reduction strategies and operational improvements.
Minimum Qualifications:
Required
- Associate's degree or Certification in Healthcare Business, or related field, or equivalent combination of education and experience may be considered.
- Three (3) years of healthcare experience in a revenue cycle position.
- Three (3) years of experience working with International Classification of Diseases, Tenth Revision (ICD-10) diagnosis and procedure coding, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and coding guidelines.
- Proficiency with Microsoft Office applications, including advanced Excel, Word, and PowerPoint skills.
Preferred
- Healthcare Financial Management Association Revendure Cycle Representative (HFMA CRCR) or Certified Professional Coder (CPC) certifications.
- Five (5) years of experience in a hospital revenue cycle billing position.
- Experience with Epic or other electronic medical record (EMR) applications.
- Experience using payer portals, electronic work queues, and denial/appeals tracking tools.
Essential Job Functions: In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
- Analyze denials to determine root cause, appeal eligibility, and appropriate resolution strategy.
- Prepare, submit, and track payer appeals and reconsiderations within required timeframes.
- Manage the full appeal lifecycle, ensuring compliance with contractual and regulatory requirements.
- Monitor denial and appeal trends; develop reports and dashboards for leadership and committees.
- Present findings and recommendations to support denial reduction and process improvement efforts.
- Collaborate with coding, billing, clinical, compliance, and operational teams to address denial drivers.
- Develop and deliver education and training to reduce avoidable denials and improve workflows.
- Support denial-related committees and task forces through reporting, analysis, and coordination.
- Manage audit requests, including Recovery Audit Contractor (RAC) and governmental audits, ensuring timely submission and tracking.
- Perform audits and utilize reporting tools (e.g., Epic) to support data analysis and operational insights.
- Maintain knowledge of payer rules, state and federal regulations, and reimbursement requirements.
Knowledge, Skills and Abilities
- Demonstrates sound judgment, patience, and maintains a professional demeanor at all times
- Exercises tact, discretion, sensitivity, and maintains confidentiality
- Performs essential job functions successfully in a busy and stressful environment
- Learns current and new computer applications and office equipment utilized at Bozeman Health
- Strong interpersonal, verbal, and written communication skills
- Analyzes, organizes, and prioritizes work while meeting multiple deadlines
Schedule Requirements
- This role requires regular and sustained attendance.
- The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
- On-call work may be required to respond promptly to organizational, patient, or employee needs.
Physical Requirements
- Lifting (Rarely - 30 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
- Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
- Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
- Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination.
- Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
- Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints.
- Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
- Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
- Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
- Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
- Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
- Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.
*Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).
The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by the personnel so classified.
77211370 Patient Financial Services
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