- Molina Healthcare (Cedar Rapids, IA)
- …for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. ... coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position...+ Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of… more
- Trinity Health (Des Moines, IA)
- …Department and Admitting Department. + Collaborates with the Recovery Audit Contractor (RAC) Coordinator and Conifer for Medicare /Medicaid RAC Denials ... the records on admission for status orders present addressing Center for Medicare Services rules and guidelines around admission status. + Monitors insurance… more