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Remote Recovery Audit Contractor Jobs (NOW HIRING)

J29

Medical Reviewer, Registered Nurse

... 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 ...

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 ...

ReSource Pro

Premium Insurance Auditor

Des Moines, IA · On-site +1

$9 - $33.50/hr

ReSource Pro is seeking Remote Phone & Virtual Audit Contractor to support our Premium Services Audit team. Come Join ReSource Pro! Your role: ReSource Pro is seeking a Remote Phone & Virtual Audit ...

Highmark Health

Supervisor Appeals - Medicare

Verbal and written communication with external business partners including Program Safeguard Contractors (PSC), Recovery Audit Contractors (RAC), and Qualified Independent Contractors (QIC) and ...

ReSource Pro

Premium Insurance Auditor

Des Moines, IA · Remote

$9 - $33.50/hr

ReSource Pro is seeking Remote Phone & Virtual Audit Contractor to support our Premium Services Audit team. Come Join ReSource Pro! Your role: ReSource Pro is seeking a Remote Phone & Virtual Audit ...

Vero Networks

Fiber Designer

Denver, CO · Remote

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 ...

Big Leap Health

Coding Specialist

To keep pace with expansion, we're adding a Part Time Coding & Audit Contractor to our remote operations team Join us in pioneering the future of mental health. Job Summary We're looking for a detail ...

CBRE

Lease Audit Manager (Remote)

Dallas, TX · On-site +1

$102K - $135K/yr

About the Role As a CBRE Lease Audit Manager, you will oversee lease audit and cost recovery activities for a large corporate real estate portfolio. This role serves as the primary liaison between ...

Express Pros - Ocala

Be Seen First

Claims & Recovery Specialist (Mortgage - Remote)

Ocala, FL · Remote

$22 - $34/hr

Claims & Recovery Analyst Ocala, FL | Full-Time - REMOTE | Monday-Friday, 8:30 AM-5:00 PM | $22-$34 ... Audit loan documentation, servicing history, foreclosure expenses, legal fees, property ...

Centene

Manager, Provider Reimbursement Audit

$87K - $157K/yr

... member eligibility, contracting, encounters, provider/member services and new business ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

CookUnity

Senior Construction Manager

OR · On-site +1

Identify project risks early and implement mitigation and recovery plans to maintain critical ... Review and audit contractor's pay applications, change orders, and project cost reports. * Identify ...

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Remote Recovery Audit Contractor information

See salary details

$30.5K

$72.6K

$117.5K

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

As of Sep 2, 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 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.
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Cities with the most Remote Recovery Audit Contractor job openings:

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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 2% As Needed, 76% Full Time, 19% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Medical Reviewer, Registered Nurse

J29

Remote

Other

This job post has expired today. Applications are no longer accepted.

Job description

Medical Reviewer, RN

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.

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
  • 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.
  • Active Medical Coding Certification (CPC, CCS or equivalent) required
  • Experience with low-code, no-code case management systems as an end-user is preferred but not required.
Education/Certification
  • Active license as a Registered Nurse, in good standing, in the United States (as verified by Nurses). Verified regularly.
J29 logo

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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