- Katalyst HealthCares and Life Sciences (Baltimore, MD)
- …Korea MFDS, China NMPA and other international medical requirements. Participate on audit and field action teams as well as support other post-market activities ... and European/International regulations and standards. RAPS' Regulatory Affairs Certification ( RAC ). Experience interacting with FDA and/or other regulatory agencies.… more
- Advocate Aurora Health (Wake Forest, NC)
- …when eligible needs to be obtained within 1 year, or Regulatory Affairs ( RAC ) certification issued by the Regulatory Affairs Professionals Society (RAPS) needs to be ... studies, including those that are complex in nature. Ensure files are audit ready. Monitors compliance required documentation. Enters and maintains study information… more
- New York State Civil Service (Albany, NY)
- …& Payment Oversight. Duties include but are not limited to:-Collaborate closely with the Recovery Audit Contractor ( RAC ) to facilitate reviews through ... the new Draft Audit Report (DAR) and Final Audit Report (FAR) procedures.-Contacting appropriate internal OMIG stakeholders and external stakeholders for… more
- HCA Healthcare (Dallas, 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
- 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 ... in billing for the technical component of the services rendered by the Departments, including initial billings, follow-up reports, and appeals in cases of retrospective denials + Assist Hospital Administration and the Medical Staff in connection with any… more
- Vestis Services (Roswell, GA)
- …+ Oversee complex installation, configuration, upgrades, and patching, including Oracle RAC clusters and Microsoft SQL Server HA clusters. + Develop and ... implement advanced high-availability (HA) and disaster recovery (DR) strategies aligned with business needs. + Design...Security and Compliance:** + Partner with internal and external audit teams to ensure compliance with SOX (Sarbanes-Oxley Act)… more
- Elderwood (Buffalo, NY)
- …and integrity of clinical reimbursement data and billing processes. + Audit MDS coding and supporting documentation; identify opportunities for improvement. + ... the Elderwood network. What We're Looking For: + Active RN license (required). + RAC -CT certification preferred. + Minimum of 5 years of MDS experience in a skilled… more
- Watco Companies LLC (Pittsburg, KS)
- …advancement opportunities Starting Hourly Rate: $21.00 A Revenue Accounting Clerk ( RAC ) is responsible for assisting in capturing revenue timely and accurately ... able to understand how the revenue is applied. The RAC will be able to answer basic revenue related...regarding the location(s) in which they are required to audit . Job Duties + Read and understand tariff and… more
- 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
- Highmark Health (Harrisburg, PA)
- …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
