- HCA Healthcare (Nashville, TN)
- …criteria is met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process ... more
- Penn Medicine (Lititz, PA)
- …external audits from the Center of Medicare and Medicaid Services CMS , Recovery Audit Contractors RAC and Medicare Administrative Contractor MAC , ... more
- Point32Health (MA)
- …to our members, partners, colleagues and communities. **Job Summary** The Sr Provider Audit Analyst is responsible for review of claims for accuracy of coding, ... more
- Molina Healthcare (AZ)
- …for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. ... more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …reviews documentation on all Observation accounts for carve-out observation hours, extended recovery , the charge coding of ED Visits and Injection and Infusion ... more
- Sutter Health (Emeryville, CA)
- …* Establish preemptive and proactive model to prepare an entities for successful recovery audit contractor (RAC) responses, including unscheduled audit ... more
- NHS Management, LLC (Athens, AL)
- …offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve ... more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …personnel with patient questions about itemized charges . Maintain reporting system of audit activities and identifies pattern and trending of results . Act as ... more
- Bassett Healthcare (Stamford, NY)
- …sent via mail, phone, or MyBassett to meet patient satisfactions. Takes a lead in service recovery and acts as a service liaison in the moment. Acts as a trainer for ... more
- Banner Health (AZ)
- …SUMMARY This position is responsible for providing support to the organization's Recovery Audit Contractor (RAC) program by reviewing clinical information and ... more
- Molina Healthcare (Columbus, OH)
- …for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. ... more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …documentation on all Observation accounts for carve-out observation hours, extended recovery , and event management, spot checking accounts with random audits. ... more
- Catholic Health Initiatives (Omaha, NE)
- …in a data-driven approach + Facilitate pre-payment reviews and/or participating in recovery audit contractor reviews + Assist Hospital Administration in billing ... more
- Ochsner Health (New Orleans, LA)
- …in a data-driven approach + Facilitate pre-payment reviews and/or participating in recovery audit contractor reviews + Assist Hospital Administration in appeals ... more
- Molina Healthcare (Columbus, OH)
- …+ Claims Adjudication accuracy including configuration in QNXT (ie Claims Production, Audit , Production Vendor Oversight) for all lines of business. Claims Shared ... more
- The County of Los Angeles (Los Angeles, CA)
- …and procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... more
- The County of Los Angeles (Los Angeles, CA)
- …rules and regulations and result in maximum revenue collection. + Prepares Medicare and Medi-Cal cost reports and State mandated disclosure reports. + Analyzes ... more
- The County of Los Angeles (Los Angeles, CA)
- …rules and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure reports. Analyzes ... more
- Monte Nido (Miami, FL)
- …Our mission is to provide compassionate, evidence-based care that supports long-term recovery . We are seeking a Director of Accounting and Compliance to join ... more
- Cedars-Sinai (CA)
- …RACs, government billed claims and inpatient stay reviews, and commercial payer audit and recovery programs. Communicates trends and presents executive updates ... more