- Eclaro (Germantown, MD)
- Senior Systems Engineer - Backup & Recovery Job Number: 24-02986 Use your skills where innovative technology solutions begin. ECLARO is looking for a Senior Systems ... Engineer - Backup & Recovery for our client in Germantown, MD. ECLARO's client...SaaS applications Experience in data life-cycle management with IT audit requirements Require excellent oral and written communication skills… more
- Sally Beauty Holdings (Denton, TX)
- …support, evaluating new technologies, ensuring licensing conformity, and supporting disaster recovery efforts. Primary Duties Actively align with business and IT ... the annual department budget and ensure cost effectiveness of all assigned activities. Audit systems and assess their outcomes to ensure security of data, network… more
- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator (RN) is responsible and accountable for ... all Care Management Denial and Recovery Audit Contractor (RAC) requests and follow-ups, including tracking of approvals and denials as well as coordinating and… more
- Kohl's (Menomonee Falls, WI)
- …documentation and recommend process improvements to prevent recurring issues + Complete assigned recovery audit projects to ensure negotiated terms and funds are ... Access or other query tools for data analysis + 3-5 years of Recovery Audit experience or Data Analysis + Excellent analytical skills and technical capabilities… more
- Henry Ford Health System (Troy, MI)
- …and coding records and the timely submission of documentation for Medicare Recovery Audit Contractors (RAC) and Third-Party Payer Audits. PRINCIPLE DUTIES ... GENERAL SUMMARY: The Manager of Payor Audit is responsible for managing all third-party payer audit processes across the Henry Ford Health System which includes… more
- AutoZone, Inc. (Memphis, TN)
- The Associate Audit Recovery Auditor utilizes analytical and forensic email review skills to audit Merchandising negotiations to recover missed funding for ... will also acquire a knowledge base of Merchandising concepts and programs and recovery industry knowledge to ensure all recoveries for all concepts are captured… more
- PRGX (Grand Rapids, MI)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- City of New York (New York, NY)
- …direction, with wide latitude for independent judgment and decision, the FEMA Recovery Specialist will oversee compliance, audit preparation and grants ... Public Art Program. The Department of Cultural Affairs is currently seeking a FEMA Recovery Specialist to serve as the lead project manager for the agency's complex… more
- Hartford HealthCare (Farmington, CT)
- …top priority and time sensitive; Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RAC), Executive Health Resources (EHR), appeals and ... and payer medical record audits. Provides oversight for designated regulatory audit activity throughout HHC HIM. Oversees and monitor payment protocol through… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- TEKsystems (Indianapolis, IN)
- …- claim submission - third party follow up - cash posting - denial appeal and recovery - audit defense and recovery - patient collections Additional Skills & ... Qualifications: MUST HAVE: - 1+ year of medical office or healthcare experience where they handle health insurance (do they understand copays and deductibles and medical terminology, etc.) - Some type of experience in claims or collections would be nice -… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- Eastern Connecticut Health Network (Vernon, CT)
- …audits that include but is not limited to Additional Documentation Requests (ADR), Recovery Audit Contractors (RAC), and Third-Party Liability (TPL). + Responds ... Administrator to coordinate department activities. Supports the department's efforts to audit , track and trend patient outcomes, analyzes data, develops and… more
- State of Minnesota (St. Paul, MN)
- …Program._ + _Knowledge of the Unified Program Integrity Contractor (UPIC) and Recovery Audit Contractor (RAC) programs within the State Medicaid Agency._ ... agencies. + Review, direct, correct, prepare written reports summarizing investigative/ audit activities conducted by others. **Preferred Qualifications** + _Knowledge… more
- Granville Medical Center (Oxford, NC)
- …indicators. * Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, ... and other audit programs, recognizing and disseminating to physicians the importance of clinical documentation for both the physician and the hospital. * Reviews… more
- Granville Health System (Oxford, NC)
- …Admission indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) ... program, and other audit programs, recognizing and disseminating to physicians the importance of clinical documentation for both the physician and the hospital.#… more
- Mohawk Valley Health System (Utica, NY)
- …Provide peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit Contractors (RAC's). + Assist with mitigating barriers to ... discharge and care progression. + Perform concurrent review of cases greater than 4 days or the assigned/estimated GMLOS + Partner with the care management team with the management of LOS, complex care needs and patient throughput efforts. Provide transition… more
- Hackensack Meridian Health (Hackensack, NJ)
- …denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent appeals iii. Recovery Audit Contractors & levels of appeal iv. Root cause analysis & ... trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate + Utilization Review Process a. Subject Matter Expert in the use & application of Utilization Management Criteria ( ie MCG, Xsolis) b. Supports &… more
