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Remote Recovery Audit Contractor Jobs in Tennessee

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Payroll Specialist

Brentwood, TN · On-site +1

$22.25 - $30.25/hr

Support contractor, customer, and government agency payroll audits and reporting requests This is ... The position is office-based in Brentwood, TN with a weekly schedule allowing for one remote day ...

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Remote Recovery Audit Contractor information

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 are Remote Recovery Audit Contractors?

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

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 most commonly searched types of Recovery Audit Contractor jobs in Tennessee? The most popular types of Recovery Audit Contractor jobs in Tennessee are:
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Remote Recovery Audit Contractor jobs near you
Community Development Block Grant - Disaster Recovery Specialist (1099)

Community Development Block Grant - Disaster Recovery Specialist (1099)

Essential Healthcare Solutions LLC

Nashville, TN • Remote

$165/hr

Contractor

Retirement

Posted 25 days ago

Job description

Community Development Block Grant - Disaster Recovery Specialist (1099)

Engagement Type Independent Contractor (1099)

Location Remote with periodic travel to grantee sites as task order requires

Rate $165 per hour (consultant direct rate)

1099 Engagement — Independent Contractor: This is an independent contractor (1099), not W-2 employment. Consultants execute a PSCG Master Independent Consultant Agreement. Consultants set their own hours within defined deadlines for deliverables, maintain their own equipment, and are free to work for other clients. No PSCG benefits apply; consultants manage their own taxes, insurance, and retirement.

ABOUT PSCG

Essential Healthcare Solutions LLC is supporting Pinnacle Solutions & Consulting Group (PSCG), an SBA-Certified Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in New Braunfels, Texas, in its search for motivated, solution-driven team players eager to embrace the responsibilities of working in a dynamic and professionally rewarding environment.

PSCG maintains a bench of Community Development Block Grant — Disaster Recovery specialists for per-task-order engagement supporting HUD CDBG-DR program administration and compliance at the state and local levels.

THE ENGAGEMENT

PSCG is looking for CDBG-DR Specialists for per-task-order engagement supporting state and local grantees with CDBG-DR program administration, compliance, and unmet needs analysis following major federally declared disasters.

TYPICAL SCOPE OF WORK

  • Support CDBG-DR action plan development and amendment.
  • Conduct unmet needs assessments per HUD guidance.
  • Support grantee program administration and compliance.
  • Advise on environmental review and Davis-Bacon compliance.
  • Coordinate with HUD field offices and state CDBG-DR administrators.

REQUIRED QUALIFICATIONS

  • Bachelor's degree in a relevant discipline.
  • Minimum seven (7) years of CDBG-DR program administration or housing recovery experience.
  • Direct experience as grantee, subrecipient, or technical advisor on a CDBG-DR allocation.
  • Working knowledge of HUD CDBG-DR Notices and cross-cutting federal requirements.
  • Active clients or portfolio demonstrating genuine independent contractor status.
  • U.S. Citizenship.

PREFERRED QUALIFICATIONS

  • Prior experience at HUD, state CDBG-DR office, or major grantee.
  • Certified Grants Management Specialist (CGMS).
  • Environmental review or Davis-Bacon compliance specialization.

ENGAGEMENT TERMS

  • Engagement under PSCG Master Independent Consultant Agreement.
  • Travel expenses paid based on GSA Schedules.

HOW TO JOIN

Send resume, licensure documentation (if applicable), and a brief statement on current client portfolio and availability to patricia.hughes@essentialhcsolutions.com. Qualified candidates will be invited to execute a PSCG Master Independent Consultant Agreement and be added to the bench for activation when applicable Task Orders arise. Joining the bench creates no paid engagement obligation for either party until a specific Task Order is executed. Reference position code CDBG-DR in the subject line.

EQUAL OPPORTUNITY & FEDERAL CONTRACTING COMPLIANCE

PSCG is committed to recruiting, hiring, and retaining the best talent regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other protected characteristic. As a Service-Disabled Veteran-Owned Small Business, PSCG especially encourages veterans, transitioning service members, and military spouses to apply. PSCG participates in E-Verify and maintains a drug-free workplace per the Drug-Free Workplace Act of 1988. All employment offers are contingent on successful background investigation, citizenship verification where required, and confirmation of non-debarment via SAM.gov.