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Remote Recovery Audit Contractor Jobs (NOW HIRING)

Boston Medical Center

Senior Manager Coding IP OP

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 ...

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 ...

Performant

HCS Customer Service Specialist II (SCA)

$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 ...

Netsmart

Clinical Appeals Nurse - PRN

... Recovery Audit Contractors (RACs) for hospital clients * Review medical records and utilize ... Comfortable with remote work arrangements and virtual collaboration tools * May require occasional ...

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Remote Recovery Audit Contractor information

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$30.5K

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How much do remote recovery audit contractor jobs pay per year?

As of Aug 11, 2026, the average yearly pay for remote recovery audit contractor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What are the main challenges faced by a remote recovery audit contractor and how can they be overcome?

Remote Recovery Audit Contractors often face challenges such as accessing and analyzing large volumes of healthcare or financial data from diverse sources, ensuring compliance with privacy regulations, and maintaining clear communication with clients and team members. To overcome these, it's important to develop strong organizational and analytical skills, stay updated on industry regulations, and leverage secure collaboration tools. Regular virtual meetings and proactive communication also help in aligning with stakeholders and resolving discrepancies efficiently.

What is the difference between Remote Recovery Audit Contractor vs Remote Healthcare Auditor?

AspectRemote Recovery Audit ContractorRemote Healthcare Auditor
CredentialsCPAR certification often preferredCPAR, CHAP, or similar healthcare-specific certifications
Work EnvironmentRemote, contract-based, healthcare industryRemote, healthcare industry focus
Employer & Industry UsageHealthcare payers, government agencies, insurance companiesHospitals, healthcare providers, insurance companies
Primary FocusIdentifying and recovering overpaid healthcare claimsAuditing 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 is a remote recovery audit contractor?

Remote Recovery Audit Contractors are professionals or firms hired to review financial transactions, such as medical claims or vendor payments, to identify and recover overpayments or incorrect payments. They work remotely, using specialized software and data analysis techniques to audit large volumes of records for potential errors or discrepancies. These contractors are commonly used by healthcare organizations, insurance companies, and government agencies to ensure compliance and recover lost funds. Their findings can help organizations improve their payment processes and prevent future mistakes.

What skills and qualifications are needed to thrive as a remote recovery audit contractor?

To thrive as a Remote Recovery Audit Contractor, you need expertise in healthcare claims auditing, knowledge of Medicare/Medicaid regulations, and a relevant degree such as in health information management or accounting. Familiarity with audit software, medical coding systems (like ICD-10 and CPT), and data analysis tools is typically required. Strong analytical thinking, attention to detail, and effective written communication are essential soft skills for identifying discrepancies and reporting findings. These skills are crucial for ensuring accuracy in claim reviews, detecting improper payments, and supporting compliance in remote healthcare environments.
More about Remote Recovery Audit Contractor jobs
What cities are hiring for Remote Recovery Audit Contractor jobs? Cities with the most Remote 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 Remote Recovery Audit Contractor jobs? States with the most job openings for Remote Recovery Audit Contractor jobs include:
What job categories do people searching Remote Recovery Audit Contractor jobs look for? The top searched job categories for Remote Recovery Audit Contractor jobs are:
Remote Recovery Audit Contractor jobs near you
Infographic showing various Remote Recovery Audit Contractor job openings in the United States as of August 2026, with employment types broken down into 70% Full Time, 9% Part Time, and 21% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Healthcare Audit Analyst (Remote)

Cape Cod Healthcare Inc

Hyannis, NE • Remote

Contractor

Re-posted 4 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

530th of 887 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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