• Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …discharge plans.5. Follows up with any denials through the appeals process; including RAC chart audit reviews. Emergency Department (ED) Case Management1. Serves ... and assure documentation meets Medicare requirements to reduce the risk related to RAC 's.5. Documentation in the medical records is completed in the appropriate time… more
    LifePoint Health (08/09/25)
    - Related Jobs

  • Coding Auditor Educator

    Highmark Health (Raleigh, NC)
    …entities in response to external coding audits conducted by the Medicare Administrative Contractor , the RAC , MIC, ZPIC, etc. Determine appeal action, prepare ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
    Highmark Health (08/08/25)
    - Related Jobs