- McLaren Health Care (Grand Blanc, MI)
- …management, and tracking responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor ( RAC ), Medicare Administrative ... **Position Summary:** **Responsible for leading audit and post pay denial activity received from...2. Responsible for managing the daily operations of the audit team and guiding the efficient and effective process… more
- New York State Civil Service (Albany, NY)
- …the position will include, but may not be limited to:* Collaborating 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...as deemed appropriate. * Create weekly reports for the RAC contractor for all open projects.* Create… more
- Beth Israel Lahey Health (Newburyport, MA)
- …direction of the Director of Health Information Management, the Health Information Management Audit Specialist handles various audit requests for the release of ... all the logging and tracking of requests and the audit process from initiation through mailing, in collaboration with...request for specificity in the documentation requested (eg, MAC, RAC , Payor Audits, Compliance Audits) and verifies that the… more
- Carle Health (Champaign, IL)
- …improvement, scanning, release of information, chart analysis, radiology file room, central dictation, recovery audit contractor ( RAC ) activity, charge ... master coding activities, and long-term paper storage. Serves as a resource for HIM topics to medical and administrative committees as needed. Qualifications **Certifications:** + Registered Health Information Administrator (RHIA) or + Registered Health… more
- HonorHealth (AZ)
- …improvement efforts + Supports compliance related to consistency of technical and professional: Recovery Audit Contractor ( RAC ) reviews. + Performs ... other duties as assigned Education + MD or DO Board Certified Physician with a special interest in Utilization Management & Quality Improvement in - Required + Graduates of an accredited medical school - Required Experience + 5 years of recent experience in… more
- HCA Healthcare (Brentwood, TN)
- …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
- Celestica (Maple Grove, MN)
- …and partners, and ensuring compliance with regulatory requirements (FDA, ISO, ASQ, RAC ). The position is virtual, offering competitive compensation and career growth ... customer surveys, operational reviews, and system applications. * Cultivate an " audit -ready" culture and direct the Global Regulatory Compliance Audit … more
- Insight Global (Sandy Springs, GA)
- …for ISO 27001 certification. * Support internally built tool, Risk and Control ( RAC ) Salesforce application enhancement project. * Assume business owner duties for ... RAC application, including management and monitoring of application fixes...related field). * 4+ years' progressive experience in IT audit (internal/external), internal control, or related areas. * Professional… more
- Community Health Systems (Franklin, TN)
- …The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non- RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS ... to payers with a strong attention to detail. Additionally, the auditor provides audit feedback to relevant parties, including coders and coding managers, to improve… more
- University of Michigan (Ann Arbor, MI)
- …resolving errors. + Enhance and support the architecture for high availability and disaster recovery with RAC and Data Guard. + Patch and Maintain High ... and RedHat Linux Servers. + Performs database administration tasks including back, recovery , tuning database configuration for optimal performance, monitoring and… more