Recovery Audit Contract Representative *Remote*

Providence Health & Services; Irvine (CA); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Recovery Audit Contract Representative to join their Revenue Cycle Business Services team. The ideal candidate will coordinate audit information and interact with various departments and external agencies, supporting the organization's mission of patient-centered care. The role requires strong experience in HIM and a commitment to quality in patient-focused service.

Qualifications

• 3 years HIM/Medical Record experience required.
• Experience with various payer audits preferred.
• Associate's or Bachelor's degree in Health Information required.

Responsibilities

• Coordinate and process audit information and additional document requests.
• Liaison between departments and external agencies.
• Maintain the Audit Tracking System for the ministry.

Skills

HIM/Medical Record Department related experience

Experience with OIG, CMS, Medicare Fiscal Intermediary audits

Electronic medical record systems experience

Education

Associate's Degree in Health Information Technology

Bachelor’s Degree in Health Information Management

Job description

Providence is calling for Recovery Audit Contract Representative - Full Time Day shift

Under the direction of ministry HIM management, HIM Audit Recovery Coordinator is principally responsible for the coordination and processing of audit information for additional document requests, appeals, validation, and data reporting. The caregiver researches, compiles, and submits requested data to external agencies and maintains the Audit Tracking System for the ministry. The Audit Recovery Coordinator is the liaison between the ministry, business office, care management, legal consultants, provider, third party payers and other departments.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• 3 yearsHIM/Medical Record Department related experience.
• Experience with OIG, CMS, Medicare Fiscal Intermediary audits and other payer audits.
• Electronic medical record systems experience.

Preferred Qualifications:

• Associate's Degree in Health Information Technology.
• Bachelor’s Degree in Health Information Management.
• 1 year Recovery Audit information coordination experience.

Salary Range by Location:

AK: Anchorage: Min: $22.07, Max: $32.36

AK: Kodiak, Seward, Valdez: Min: $23.00, Max: $33.73

California: Humboldt: Min: $23.00, Max: $33.73

California: All Northern California - Except Humboldt: Min: $25.81, Max: $37.84

California: All Southern California - Except Bakersfield: Min: $23.00, Max: $33.73

California: Bakersfield: Min: $22.07, Max: $32.36

Idaho: Min: $19.64, Max: $28.79

Montana: Except Great Falls: Min: $17.77, Max: $26.05

Montana: Great Falls: Min: $16.23, Max: $24.68

New Mexico: Min: $17.77, Max: $26.05

Nevada: Min: $23.00, Max: $33.73

Oregon: Non-Portland Service Area: Min: $20.57, Max: $30.16

Oregon: Portland Service Area: Min: $22.07, Max: $32.36

Texas: Min: $16.23, Max: $24.68

Washington: Western - Except Tukwila: Min: $23.00, Max: $33.73

Washington: Southwest - Olympia, Centralia & Below: Min: $22.07, Max: $32.36

Washington: Tukwila: Min: $23.00, Max: $33.73

Washington: Eastern: Min: $19.64, Max: $28.79

Washington: Southeastern: Min: $20.57, Max: $30.16

Why Join Providence?

Ourbest-in-class benefitsare uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering ourMissionof caring for everyone, especially the most vulnerable in our communities.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.