ZipRecruiter

Log In

2

Remote Recovery Audit Contractor Jobs in Tennessee

Intellivo

Sr. Infrastructure Manager

Memphis, TN · On-site +1

This is a remote position; candidates in or near Memphis, TN are preferred. Core Responsibilities ... Develop and test business continuity and disaster recovery plans to ensure resilience of critical ...

HDR

Senior Scheduler (Federal)

Brentwood, TN · On-site +1

Our work is performed by our professional staff, scientists and engineers at remote sites, embedded ... recovery options * Integrate schedule inputs from clients, contractors, and third parties to ...

Revecore

Auto Claims Specialist

Franklin, TN · Remote

$15/hr

... healthcare providers recover meaningful revenue to enhance quality patient care in their ... US-Remote Pay: $15/hr + Incentive Plan As an Auto Claims Specialist at Revecore, you will make high ...

Revecore

Auto Claims Specialist

Franklin, TN · Remote

$15/hr

... healthcare providers recover meaningful revenue to enhance quality patient care in their ... US-Remote Pay: $15/hr + Incentive Plan As an Auto Claims Specialist at Revecore, you will make high ...

previous pagenext page

Showing results 21-40

All JobsRecovery Audit Contractor JobsRemote Recovery Audit Contractor JobsRemote Recovery Audit Contractor Jobs in Tennessee

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 the most commonly searched types of Recovery Audit Contractor jobs in Tennessee?

The most popular types of Recovery Audit Contractor jobs in Tennessee are:

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

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

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

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

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

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

Remote Recovery Audit Contractor jobs near you

Tennessee Psychiatric-Mental Health Nurse Practitioner (PMHNP)

Accountable

Nashville, TN • Remote

Contractor

Medical

Posted 22 days ago

Job description

TENNESSEE REMOTE PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER (PMHNP)
Initiating Visit & Supervising Practitioner : Principal Illness Navigation, Peer Support (PIN-PS)
Independent Contractor (1099) | Telehealth/ Remote position | You Are Accountable
ABOUT THE ROLE
You Are Accountable operates behavioral health programs built around Principal Illness Navigation - Peer Support (PIN-PS), a Medicare care-navigation benefit in which certified peer support specialists walk alongside patients living with serious behavioral health conditions. Every patient's navigation episode must begin with a qualifying initiating visit furnished by a billing practitioner, and the ongoing peer navigation is billed incident to that practitioner's services under general supervision. That practitioner is you.
This is a flexible, telehealth-based contractor role with meaningful clinical leverage: you conduct the psychiatric evaluation that opens each patient's episode, set the plan of care the peer team supports, and remain available as the supervising clinician while peer specialists deliver month-to-month navigation. You control your own schedule, and compensation scales directly with the work you personally perform.
WHAT YOU'LL DO
  • Conduct initiating visits (e.g., psychiatric diagnostic evaluations, CPT 90791, or E/M visits) via telehealth for patients entering PIN-PS programs, establishing the diagnosis, medical necessity, and plan of care the navigation services will support.
  • Document each visit in our EHR within 48 hours to clean, billable standards, including patient consent to navigation services where required.
  • Serve as the billing practitioner of record for enrolled patients and provide general supervision of the certified peer support specialists furnishing navigation incident to your services.
  • Furnish follow-up visits for your enrolled patients where clinically indicated and mutually agreed.
  • Cooperate with quality, audit, and payer-compliance activities relating to your patients.

WHAT WE'RE LOOKING FOR
  • Active, unrestricted APRN/NP licensure in one or more of: Texas, Florida, North Carolina, Tennessee, Pennsylvania, New Jersey, or New York (multi-state licensure a plus). State credential titles vary (APRN, CRNP, APN, NP) - all are welcome.
  • National board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC).
  • Any physician collaboration, supervision, or protocol arrangement required by your state (e.g., prescriptive authority agreement in TX; collaborative agreement in PA; joint protocol in NJ; practice agreement or NP Modernization Act qualification in NY; supervisory protocol in FL) - we can discuss support here. We also have physicians that we work with that can provide this.
  • Active NPI; eligibility to enroll with and reassign benefits to our professional entities for Medicare and Medicaid; never excluded from any federal or state health care program.
  • Comfort with telehealth care for adults with serious behavioral health conditions, and an appreciation for peer support as part of the care team.

COMPENSATION
  • Professional services: 80% of net collections for each service you personally furnish, paid within 30 days after the month we receive payment from the funding source, with full per-service reporting.
  • Supervision stipend: $5.00 per supervised patient per month for each month billable navigation services are furnished to that patient under your supervision.
  • Malpractice coverage: professional liability coverage for your services under this engagement provided at our expense ($1M per claim / $3M aggregate).

ENGAGEMENT DETAILS
1099 independent contractor; you keep full independent clinical judgment and set your own schedule around agreed availability. The role is non-exclusive - most of our practitioners maintain other practices. Because each patient's navigation episode depends on continuity with their billing practitioner, the agreement includes a 12-month notice period for termination without cause, which ends early automatically once your enrolled patients have been transitioned to a successor practitioner with continuity of care maintained; after giving notice you are never obligated to take on new patients.
You Are Accountable is an equal opportunity organization. All engagements are subject to credentialing, exclusion screening, and payer enrollment.

Apply