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Remote Recovery Audit Jobs in Virginia (NOW HIRING)

Riverside

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... payor recovery audits. Uses expertise and discretion to apply necessary corrections to ensure ...

Ferguson Enterprises, LLC

IT Auditor

Springfield, VA · On-site +1

... for remote staff, travel to Newport News HQ at minimum annually in addition to audit location ... recovery. * Familiarity with compliance/audit frameworks (NIST, COBIT, etc) * Knowledge of ...

Maximus

Patching Analyst

VA · On-site +1

General information Job Posting Title Patching Analyst Date Tuesday, June 9, 2026 City Remote ... and audit support across on-premises, cloud, and hybrid environments. Ability to obtain and ...

Maximus

Patching Analyst

Norfolk, VA · Remote

... and audit support across on‑premises, cloud, and hybrid environments. Ability to obtain and ... support recovery in the event of patch or upgrade failure. - Communicate planned patching ...

Maximus

Patching Analyst

Virginia Beach, VA · Remote

... and audit support across on‑premises, cloud, and hybrid environments. Ability to obtain and ... support recovery in the event of patch or upgrade failure. - Communicate planned patching ...

Maximus

Patching Analyst

Williamsburg, VA · Remote

... and audit support across on‑premises, cloud, and hybrid environments. Ability to obtain and ... support recovery in the event of patch or upgrade failure. - Communicate planned patching ...

Maximus

Patching Analyst

Harrisonburg, VA · Remote

... and audit support across on‑premises, cloud, and hybrid environments. Ability to obtain and ... support recovery in the event of patch or upgrade failure. - Communicate planned patching ...

Maximus

Patching Analyst

Hampton, VA · Remote

... and audit support across on‑premises, cloud, and hybrid environments. Ability to obtain and ... support recovery in the event of patch or upgrade failure. - Communicate planned patching ...

Maximus

Patching Analyst

Lynchburg, VA · Remote

... and audit support across on‑premises, cloud, and hybrid environments. Ability to obtain and ... support recovery in the event of patch or upgrade failure. - Communicate planned patching ...

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All JobsRemote Recovery Audit JobsRemote Recovery Audit Jobs in Virginia

Remote Recovery Audit information

What is a Remote Recovery Audit?

A Remote Recovery Audit is a process where professionals review a company's financial transactions and records from a remote location to identify and recover lost revenue due to overpayments, duplicate payments, or compliance errors. This type of audit is typically performed using secure digital tools and software, allowing auditors to access necessary data without being physically present at the client site. Remote recovery audits are widely used in industries such as healthcare, retail, and finance to ensure financial accuracy and recover funds that might otherwise be missed.

What is the difference between Remote Recovery Audit vs Remote Accounts Payable Specialist?

AspectRemote Recovery AuditRemote Accounts Payable Specialist
CertificationsCPA, Certified Recovery AuditorAP Certification, Microsoft Office skills
Work EnvironmentRemote, audit firms, healthcare, insuranceRemote, finance departments, corporate offices
Industry UsageHealthcare, insurance, governmentRetail, manufacturing, corporate finance
Job FocusIdentifying overpayments, recovering fundsProcessing invoices, managing payments

Remote Recovery Auditors focus on reviewing financial transactions to recover overpaid funds, often requiring audit certifications. Remote Accounts Payable Specialists handle invoice processing and payment management, typically with finance certifications. While both roles are remote and finance-related, their core functions and industry applications differ significantly.

What are the key skills and qualifications needed to thrive as a Remote Recovery Audit professional, and why are they important?

To excel as a Remote Recovery Audit professional, you typically need a background in finance, accounting, or healthcare administration, with expertise in auditing and claims analysis. Familiarity with audit management software, claims processing systems, and data analysis tools is crucial, and certifications like Certified Professional Medical Auditor (CPMA) or Certified Internal Auditor (CIA) can be advantageous. Strong attention to detail, analytical thinking, and effective communication are important soft skills for identifying discrepancies and collaborating with teams remotely. These qualifications ensure accurate recovery of funds, compliance with regulations, and efficient resolution of discrepancies in a remote work environment.

What are some common challenges faced by professionals in a Remote Recovery Audit role, and how can they be addressed?

Professionals in Remote Recovery Audit often encounter challenges such as managing large volumes of transactional data, ensuring accuracy while working independently, and communicating effectively with clients or internal teams across different time zones. To address these challenges, it’s important to develop strong organizational skills, leverage audit software and automation tools, and establish regular check-ins with team members. Additionally, maintaining clear documentation and following established audit protocols can help mitigate errors and streamline the recovery process.
What are popular job titles related to Remote Recovery Audit jobs in Virginia? For Remote Recovery Audit jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Recovery Audit jobs in Virginia look for? The top searched job categories for Remote Recovery Audit jobs in Virginia are:
What cities in Virginia are hiring for Remote Recovery Audit jobs? Cities in Virginia with the most Remote Recovery Audit job openings:
Remote Recovery Audit jobs near you
Infographic showing various Remote Recovery Audit job openings in Virginia as of June 2026, with employment types broken down into 70% Full Time, 15% Part Time, and 15% Contract. Highlights an 48% Physical, 3% Hybrid, and 49% Remote job distribution.
Compliance Analyst RMG

Compliance Analyst RMG

Riverside Health System

Newport News, VA • On-site, Remote

$57K - $78K/yr

Full-time

Posted 9 days ago

Job description

Newport News, Virginia
Hiring Range
$57,100.00 - $78,550.00/AnnualActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.
FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME
This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.
Overview
Primary responsibility is to independently perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge/reimbursement analysis, medical records reviews, and educate provider personnel on coding methodologies that will result in improved accuracy by following RMG compliance standards for commercial and government payors. This position serves as subject matter expert to coordinate review and root cause analysis of coding follow-up/denial and audit work queues, coding denial volumes, and coding trends. Responsible for identifying and reporting obstacles, patterns, and variations as well as resolutions in a timely, clear and concise manner. Serves as an expert for all coding-related questions and is responsible for providing educational materials to answer questions from clinical/office managers, providers and other administrative personnel.
What you will do
  • Independently conducts Medical Record audits following official coding guidelines and interprets and applies Federal and State regulations, coding and billing requirements for Baseline, Annual, Post Education and Focused provider chart reviews. Analyzes provider coding and documentation to evaluate risks relating to future payor recovery audits. Uses expertise and discretion to apply necessary corrections to ensure compliance with payor rules and regulations with appropriate databases.
  • Demonstrates expertise and ensures that all Third Party Payor reviews are completed timely with all requested supporting documentation (e.g. Medical records). Researches payor rules (e.g. manuals, policies and other sources) for support and guidance. Pre-reviews files and materials and provides summary of findings so that issues can be shared with the department director. Works in alliance with RHS Internal Auditing. Reports and tracks necessary corrections to ensure compliance with payor rules and regulations with appropriate databases.
  • Analyzes coding related to 1) ensuring work queues are worked timely and accurately and reporting concerns to department managers, and/or Director, 2) identifying trends, 3) conducting root cause analysis of trends, and 4) developing action plans for corrective action. Makes recommendations to Manager and practices/departments, including Patient Accounting (CBO), Physicians and Contracting to resolve the denied claims and provide education to reduce future denials.
  • Audits both aggregate coded data and individual encounter data to independently determine opportunities for education, training and documentation improvement for both individual providers and RMG Coding team. Provides feedback and suggestions to providers/coders regarding coding accuracy. Identifies trends and opportunities for improvement in clinical documentation and reports this information to the Director.
  • Works with newly hired team members' orientation program to ensure understanding of office based payor regulations (ABN, HIPAA, Incident to/shared visits). Oversees the department's new team member and reports on evaluation results with any recommendations as needed. Assists with and/or provides suggestions for continuing education topics and issues for coding staff. Interacts with and educates coding staff in specialty topics. Develops and maintains all presentations and tracking logs.
  • Works collaboratively with both internal and other departments with assistance and guidance. Answers questions and solves complex coding problems which includes performing preliminary research on topics such as coverage determinations, coding guidelines or standards of care with an emphasis on improving efficiency.

Qualifications
Education
  • High School Diploma or GED, (Required)

Experience
  • 3-4 years Commercial and Government Billing/Coding/Collections (Required)
  • 1 year Medical Record Reviews (Required)

Licenses and Certifications
  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) (Required) or
  • Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) (Required) and
  • Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC) or another AAPC recognized credential, or billing within 1 Year (Required)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

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