- HCA Healthcare (Austin, TX)
- …criteria is met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor ( RAC ) recoupment requests and process ... or appeal as appropriate + Compose technical denial arguments for reconsideration, including both written and telephonically + Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument +… more
- Highmark Health (Austin, TX)
- …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
- Lockheed Martin (Grand Prairie, TX)
- …commitments \-Participating in independent reviews, including Readiness Acceptance Check \( RAC \), customer proposal reviews, and audits \-Partnering with customers, ... Systems/Models such as Capability Maturity Model Integrated \(CMMI\), QMS System Audit \(AS9100, ISO9001\), AS9145 Desire and ability to implement creative… more