• Recovery Audit Contractor

    UNC Health Care (Hendersonville, NC)
    …to improve the health and well-being of the unique communities we serve. Summary: The Recovery Audit Contractor ( RAC ) Coordinator (RN) is responsible and ... more
    UNC Health Care (03/04/25)
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  • Organizational Quality Nurse Specialist

    Hospice of Michigan (Ann Arbor, MI)
    …complete responses to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor ( RAC ) etc., requests and ... more
    Hospice of Michigan (03/11/25)
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  • Physician Advisor - Utilization Management PT

    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 ... more
    Ochsner Health (04/09/25)
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  • Physician Advisor

    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 ... more
    Catholic Health Initiatives (02/20/25)
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  • Sr. Health Info Mgmt Spec.

    BJC HealthCare (St. Louis, MO)
    …(ie. depositions, subpoenas, court appearance and affidavits). + Performs and oversees the regulatory audit process (ie. CMS - RAC and non- RAC , TJC, State) ... more
    BJC HealthCare (04/10/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …entities in response to external coding audits conducted by the Medicare Administrative Contractor , the RAC , MIC, ZPIC, etc. Determine appeal action, prepare ... more
    Highmark Health (02/07/25)
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  • Principal Quality Associate

    Lilly (Pleasant Prairie, WI)
    …Lilly is looking for experienced quality assurance associate to oversee its internal audit and inspection program to support our growth in Kenosha County, Wisconsin. ... more
    Lilly (03/19/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed established ... more
    St. Luke's University Health Network (04/02/25)
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  • Pro-Fee Compliance Analyst (40 hours/week)

    Penn Medicine (Lititz, PA)
    …of Medicare and Medicaid Services CMS , Recovery Audit Contractors RAC and Medicare Administrative Contractor MAC , Office of Inspector General OIG and ... more
    Penn Medicine (03/04/25)
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  • CDM Analyst RI Auditor

    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
    Chesapeake Regional Healthcare (01/25/25)
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  • Revenue Integrity Specialist

    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
    Chesapeake Regional Healthcare (01/24/25)
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  • Nurse Auditor/Rev Intgty Spec

    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
    Chesapeake Regional Healthcare (04/05/25)
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  • SOC Senior

    Moss Adams LLP (Dallas, TX)
    …the team** Welcome to our SOC practice withinRisk Advisory and Compliance \( RAC \)Our team supports our business assurance practice and integrated compliance audits ... more
    Moss Adams LLP (03/14/25)
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  • Senior Staff Global Process Owner, Quality…

    Danaher Corporation (Brea, CA)
    …compliance with Food & Drug Administration (FDA), Medical Device Single Audit Program (MDSAP), ISO13485, European Union Medical Device Directives (MDD), and ... more
    Danaher Corporation (02/22/25)
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  • Medical Coding Quality Analyst - Remote Position

    LifePoint Health (Denver, CO)
    …coders, and working on various projects that involve coding and education including RAC audits. You would be working in a team environment with guidance from ... more
    LifePoint Health (04/07/25)
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  • Pharmaceutical Compliacence Officer

    Adecco US, Inc. (Carolina, PR)
    …✅ Develop and implement Corrective and Preventive Actions (CAPA) in response to audit findings. **3. Supply Chain & Drug Security** ✅ Ensure DSCSA compliance, ... more
    Adecco US, Inc. (04/02/25)
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  • Senior Specialist, Regulatory Affairs (Hybrid)

    BD (Becton, Dickinson and Company) (Durham, NC)
    …Coordinates with Quality function on compliance activities and responses to quality audit findings + Drives improvements in capability, such as customer centricity, ... more
    BD (Becton, Dickinson and Company) (03/20/25)
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  • Physician Advisor

    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 ... more
    Mohawk Valley Health System (03/18/25)
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  • Trauma Clinical Coord RN

    Baylor Scott & White Health (College Station, TX)
    …identify complications, deviation in standards of care, mortalities, and hospital-specific audit filters. Identifies patients on the trauma service using the ... more
    Baylor Scott & White Health (03/14/25)
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  • Quality/Risk Manager (RN), Medical Group Services

    LifePoint Health (Richlands, VA)
    …of Disclosures. * Reports breaches on the Corporate Portal * Acts as facility Recovery Audit Coordinator. Ensures completion within the regulated time frame by ... more
    LifePoint Health (03/08/25)
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