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Remote Recovery Audit Contractor Jobs in Florida

L3HHCM20

Senior Specialist, Internal Audit

Melbourne, FL · On-site +1

$88K - $164K/yr

  • Medical

  • Retirement

  • PTO

Melbourne, FL; Remote Opportunity Job Schedule: 9/80: Employees work 9 out of every 14 days ... Experience working for a government contractor * Detail oriented with good organizational skills ...

YO AI Labs

Medical Auditor - Remote

Miami, FL · Remote

$50 - $70/hr

Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute ... Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy ...

VetsEZ

Proposal Pricing Analyst (Remote Opportunity)

Tampa, FL · On-site +1

$100K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Maintain organized pricing files, supporting documentation, assumptions, and audit-ready records ... Knowledge of federal government contracting cost structures, including direct labor, indirect rates ...

VetsEZ

Proposal Pricing Analyst (Remote Opportunity)

Tampa, FL · On-site +1

$100K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Maintain organized pricing files, supporting documentation, assumptions, and audit-ready records ... Knowledge of federal government contracting cost structures, including direct labor, indirect rates ...

YO AI Labs

SolidWorks Expert - Remote

Miami, FL · Remote

$40 - $130/hr

Contractor Location: Remote Job Overview We are seeking experienced SolidWorks Specialists to ... Review and audit CAD models for dimensional accuracy, tolerance application, manufacturability, and ...

YO AI Labs

Autodesk Inventor Expert - Remote

Miami, FL · On-site +1

$30 - $120/hr

Contractor Location: Remote Job Overview We are seeking experienced Autodesk Inventor Specialists ... Review and audit CAD models for dimensional accuracy, GD&T compliance, manufacturability, and ...

VetsEZ

HealthShare Engineer (Remote Opportunity)

Miami, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... recovery, patching, and ADFS integrations. * Manage certificate administration, including updates ... contracting environments. * Minimum of 2 years of experience coding, maintaining, or supporting ...

VetsEZ

HealthShare Engineer (Remote Opportunity)

Miami, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... recovery, patching, and ADFS integrations. * Manage certificate administration, including updates ... contracting environments. * Minimum of 2 years of experience coding, maintaining, or supporting ...

VetsEZ

HealthShare Engineer (Remote Opportunity)

Tampa, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Maintain CI/CD pipelines and support backup, recovery, patching, and ADFS integration activities ... contracting experience, including at least 2 years of experience coding or operating production ...

VetsEZ

HealthShare Engineer (Remote Opportunity)

Tampa, FL · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Maintain CI/CD pipelines and support backup, recovery, patching, and ADFS integration activities ... contracting experience, including at least 2 years of experience coding or operating production ...

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Remote Recovery Audit Contractor information

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.

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.

How are remote recovery audit contractors paid?

Remote recovery audit contractors are typically paid on a performance-based basis, earning a percentage of the recovered funds or overpayment amounts they identify. Payments are often made after successful recovery and may be structured as commissions or fees, depending on the contract terms and organization policies.

What are popular job titles related to Remote Recovery Audit Contractor jobs in Florida?

For Remote Recovery Audit Contractor jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Recovery Audit Contractor jobs in Florida look for?

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

What cities in Florida are hiring for Remote Recovery Audit Contractor jobs?

Cities in Florida with the most Remote Recovery Audit Contractor job openings:

Remote Recovery Audit Contractor jobs near you
Infographic showing various Remote Recovery Audit Contractor job openings in Florida as of August 2026, with employment types broken down into 2% As Needed, 73% Full Time, 21% Part Time, and 4% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution.

Director, Post Pay Audit

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted 5 days ago

Job description

Job Summary:

We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This leader will be responsible for overseeing the execution of comprehensive post-payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.), ensuring compliance, accuracy, and maximum revenue recovery for healthcare provider clients.

The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale.

Key Responsibilities:

  • Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.
  • Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across both U.S.-based and Philippines-based operations.
  • Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC, Medicaid Integrity Program, etc.).
  • Establish and refine audit workflows, KPIs, and escalation protocols to optimize audit yield and recovery timelines.
  • Collaborate with compliance, legal, and analytics teams to identify audit opportunities and mitigate risk.
  • Serve as the subject matter expert for payer audit guidelines, CMS regulations, and state-specific requirements.
  • Build strong relationships with internal stakeholders and clients to align audit strategies with broader revenue recovery goals.
  • Develop and execute training programs and professional development plans for onshore and offshore audit staff.
  • Ensure adherence to internal quality standards, HIPAA regulations, and client-specific SLAs.
  • Analyze audit outcomes and present regular performance and risk reports to senior leadership.

Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s or MBA preferred
  • Minimum of 7–10 years of experience in post-payment auditing, healthcare reimbursement, or revenue recovery
  • Proven experience managing global teams, including operations based in the Philippines
  • Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
  • Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
  • Demonstrated ability to lead process improvement initiatives in large-scale audit operations
  • High proficiency with audit and recovery systems, reporting tools, and workflow platforms
  • Strong communication, leadership, and analytical skills
  • Certification in auditing, billing, or compliance (e.g., CPMA, CPC, CHC) is a plus

Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.

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