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Remote Recovery Audit Contractor Jobs in Texas (NOW HIRING)

Ardent Eagle Solutions

Records Management Specialist

Austin, TX · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... audits, electronic records management, document control, disposition activities, administrative ... Background EDA requires contractor support to strengthen and standardize records management ...

Ardent Eagle Solutions

Records Management Specialist

Austin, TX · On-site +1

$65K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... audits, electronic records management, document control, disposition activities, administrative ... Background EDA requires contractor support to strengthen and standardize records management ...

Ardent Eagle Solutions

Records Management Specialist

Austin, TX · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... audits, electronic records management, document control, disposition activities, administrative ... Background EDA requires contractor support to strengthen and standardize records management ...

Presbyterian Healthcare Services

VP-Payer Strategy

Austin, TX · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote OfficeAustin, TX 78701 Summary: Presbyterian Healthcare Services (PHS) seeks a strategic ... This leader will define and execute a system-wide payor contracting and revenue optimization ...

OPTIDGE INC

SEO Strategist Freelancer

Houston, TX · Remote

$30 - $35/hr

Optidge is a home-grown remote-first digital marketing agency supporting small and medium ... This is a role for an Independent Contractor or Freelancer who would like consistent work at an ...

Resource Innovations

Energy Engineer

Dallas, TX · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This position may be remote, with a preferred location in Illinois, Iowa, Massachusetts, New Jersey ... Present and discuss findings with customers, contractors, trade allies, utility program staff, and ...

UTMB Health

Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$17.50 - $23.50/hr

Properly codes and/or audits professional services for Inpatient and/or professional and hospital ... As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected ...

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

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 Texas?

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

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

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

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

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

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

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

Remote Recovery Audit Contractor jobs near you

HCSS Contracting Specialist (Partial Remote)

UTMB Health

Galveston, TX • On-site, Remote

$33 - $41/hr

Full-time

Retirement

Re-posted 20 days ago

UTMB Health rating

7.3

Company rating: 7.3 out of 10

Based on 168 frontline employees who took The Breakroom Quiz

269th of 889 rated healthcare providers

Job description

JOB DESCRIPTION: Works under the direction of the Contracting Manager and collaborates closely with internal departments and external vendors to execute contract management, sourcing, and procurement of goods and services. This position is responsible for supporting institution-wide supply chain contracting initiatives, including drafting, reviewing, and negotiating contracts; managing contract renewals and modifications; ensuring compliance with applicable laws and UTMB policies; and maintaining accurate contract records in procurement systems.
ESSENTIAL JOB FUNCTIONS
• Manage a portfolio of contracts throughout the contract lifecycle process.
• Draft, review, negotiate, and manage contracts for various products and services to ensure compliance and secure the best value for the organization.
• Collaborate and coordinate with supply chain, legal, finance, and institutional stakeholders to evaluate sourcing opportunities, support vendor selection, and optimize contract terms.
• Work in collaboration with the Contract Administrator and Value Analysis teams on the execution of contracting and sourcing strategy.
• Provide support for internal and external customers on contract details and compliance.
• Utilize data analytics and business intelligence to generate actionable insights on sourcing, supplier value, and contract performance for reporting to leadership.
• Demonstrate exceptional communication skills, relaying complex contract information to various internal and external stakeholders.
• Identify, assess, and mitigate contract and operational risks, escalating issues when necessary to leadership or legal.
• Provide effective record keeping, ensuring that all contract documents are readily accessible and categorized appropriately within the data management systems.
• Foster positive vendor relationships and support the resolution of contractual issues, ensuring that UTMB's business needs are met.
• Monitor contract compliance in accordance with State, UT System, and UTMB contractual requirements.
• Assist in collecting information and preparing documents for review related to internal and external audit requests.
• Perform other related duties as assigned.
Marginal or Periodic Functions:
  • Prepare information and participate in quarterly business reviews.
  • Data review for state reporting.
  • Participate in process improvement projects.
  • Participate in cost savings and procurement optimization.
  • Engage with UT System and UT Alliance partners on contracting projects.

KNOWLEDGE/SKILLS/ABILITIES
• Effective oral and written communication skills.
• Proficiency in the administration of bids and contracts.
• Exercise considerable judgment in scheduling and coordinating work.
• Collaboration with all levels of internal and external stakeholders to affect the final determination of problems of recurring but non-routine nature.
• Demonstrate intermediate use of Microsoft Excel, PowerPoint, and Word.
• Knowledge in the review and understanding of legal contracts, terms, and conditions.
• Ability to work well in a team environment, both with internal, cross-functional, and cross-institutional teams.
• Ability to understand the intended audience and knowledge of subject matter.
• Ability to actively listen and handle difficult or delicate situations with diplomacy and tact.
• Commitment to excellence and customer service demonstrated through flexibility, teamwork, professionalism, and a high level of problem-solving skills.
• Ability to be responsible, flexible, accountable, and detail-oriented with the ability to multitask, adapt, and prioritize meeting deadlines.
• Strong negotiation skills.
EDUCATION & EXPERIENCE
Minimum Qualifications:
• Bachelor's degree in Business, Finance, Health Care Administration, Supply Chain, or relevant field plus two (2) years of relevant experience.
  • An equivalent combination of education and experience relevant to the role may be considered for this position.

Preferred Qualifications:
  • Experience in using supply chain contract management software, Jaggaer and PeopleSoft
  • Experience with public procurement, preferably with the State of Texas entities.
  • Knowledge of healthcare procurement.
  • Utilization of AI tools, including but not limited to Microsoft Copilot.
  • C.P.S.M., C.P.P.B, C.P.P.O, CTCM, or an equivalent nationally recognized certification

WORKING ENVIRONMENT/EQUIPMENT
Standard office equipment.
*HCSS is the in-house staffing agency for UTMB; therefore, this position is not eligible for TRS benefits. However, employees do have the opportunity to participate in the 401(k) retirement plan offered through HCSS.

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