Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative ... Is this position Remote No Work Location Address: 2995 Red Hill Ave Costa Mesa CA LOA Coverage
Quick apply
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative ... Is this position Remote No Work Location Address: 2995 Red Hill Ave Costa Mesa CA LOA Coverage
Quick apply
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative ... Is this position Remote No Work Location Address: 2995 Red Hill Ave Costa Mesa CA LOA Coverage
Olympia, WA · On-site +1
$78K - $106K/yr
Remote Optional Job Number: 2026-04593 Department: Health Care Authority Division: DAIO Opening ... Recovery Audit Contractor (RAC) program, along with other utilization review programs. The role is ...
Olympia, WA · On-site +1
$78K - $106K/yr
Remote Optional Job Number: 2026-04593 Department: Health Care Authority Division: DAIO Opening ... Recovery Audit Contractor (RAC) program, along with other utilization review programs. The role is ...
Rochester, NY · On-site +1
$19.75 - $24.50/hr
The Denial Management Coordinator oversees the coordination and tracking of Rochester Regional Health responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC ...
Rochester, NY · On-site +1
$19.75 - $24.50/hr
The Denial Management Coordinator oversees the coordination and tracking of Rochester Regional Health responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC ...
Saint Augustine, FL · Remote
$15.50 - $20/hr
... Recovery Audit Contractor (RAC) Program. This position serves as a liaison between healthcare ... Work Environment This is a fully remote position. Employees are expected to maintain a dedicated ...
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Saint Augustine, FL · Remote
$15.50 - $20/hr
... Recovery Audit Contractor (RAC) Program. This position serves as a liaison between healthcare ... Work Environment This is a fully remote position. Employees are expected to maintain a dedicated ...
... 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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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.
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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 ...
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 ...
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 ...
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 ...
This position is 100% remote with preference given to candidates in the Jacksonville, FL or ... Audit, Compliance, and Documentation Support -- 10% * Provide evidence and documentation for ...
This position is 100% remote with preference given to candidates in the Jacksonville, FL or ... Audit, Compliance, and Documentation Support -- 10% * Provide evidence and documentation for ...
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 ...
$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
| 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.

Full-time
Posted 6 hours ago
Be an early applicant
Position Summary:
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed. This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.
Skills:
Required Skills & Experience:
3 years of Medicare billing experience in billing, follow up, in an acute care setting.
Experience working on complex projects.
1-3 years of experience in healthcare acute setting regulatory audits and appeals.
Experience with and understanding of CMS billing, payment and reimbursement methodologies.
Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations.
Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred Skills & Experience:
5 years of experience or more in an acute setting.
3 years of experience in healthcare acute setting regulatory audits and appeals.
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
5 years of experience in Medicare billing, follow up, appeals.
Knowledge of utilization management process, coding, medical necessity criteria.
3 years of Medicare billing experience in billing, follow up, in an acute care setting
Experience working on complex projects
1-3 years of experience in healthcare acute setting regulatory audits and appeals
Experience with and understanding of CMS billing, payment and reimbursement methodologies
Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations
Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred:
5 years of experience or more in an acute setting
3 years of experience in healthcare acute setting regulatory audits and appeals
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits
5 years of experience in Medicare billing, follow up, appeals
Knowledge of utilization management process, coding, medical necessity criteria
Education:
Required Education:
High school diploma or equivalent experience.
Required Certifications & Licensure:
High school diploma or equivalent experience
Languages:
English
Schedule Notes:
Is this position Remote No Work Location Address: 2995 Red Hill Ave Costa Mesa CA LOA Coverage
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We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.
Recruiting and staffing services
501 - 1,000 Employees
Plainfield, IL, US
2012