- Sharecare (Trenton, NJ)
- …CMS campaigns, including but not limited to: HEDIS, DRG, Risk Adjustment, Payment Integrity, RAC , CMS Audits + Receive and review audit requests from external ... To learn more, visit www.sharecare.com . **Job Summary:** The mission of the Audit Fulfillment Program is to track, retrieve, & deliver timely, accurate medical… more
- Baylor Scott & White Health (Trenton, NJ)
- …focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors ( RAC ) denials. This role will be ... payer denial codes, appeal strategies and regulatory frameworks. + Familiarity with RAC audit processes preferred + Experience collaborating across multiple… more
- Parexel (Trenton, NJ)
- …and 510(j)(3) reporting through nextGen portals is a plus * Ensure audit readiness and version control through meticulous documentation and system management ... in Pharmaceutics, Biochemistry, Molecular Biology, Biotechnology, or Biology preferred * RAC certification is a plus Given the client's location, preference will… more
- Cardinal Health (Trenton, NJ)
- …and records. + Manage and enforce data provenance, ensuring a complete audit trail of a dataset's origin, transformations, and access for regulatory reporting. ... Information Systems, Computer Science, Regulatory Affairs, preferred or equivalent work experience + RAC certification is a plus. + 2-4 years of experience in data… more
- American Water (Camden, NJ)
- …in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC , trackers, etc). Ensure the financial support is complete, accurate and timely ... preparation and delivery of presentations including oral and written testimony. * Audit , review and analysis of business and financial records. * Execution and… more