- State of Minnesota (St. Paul, MN)
- …assist in the direction and coordination of federally mandated contractors, such as the Recovery Audit Contractor ( RAC ), the Unified Program Integrity ... **Working Title: Federal Audit Contract Liaison** **Job Class: Human Services Program..._Assist in the management of the scope of the RAC , UPIC, and other contractor audits._ +… more
- State of Minnesota (St. Paul, MN)
- …This position will direct and coordinate federally mandated contractors, such as the Recovery Audit Contractor ( RAC ),the Unified Program Integrity ... **Working Title: Federal Audit Contract Coordinator** **Job Class: Human Services Program...Services (DHS) / Office of Inspector General (OIG)-PIO POAI RAC /UPIC Unit + **Work Shift/Work Hours** : Day Shift… more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the ... resolution of claim denials, effective appeal strategies, and proactive audit response. The manager leads a team of specialists,... Oversight + Manage payer and third-party audits (eg, RAC , MAC, UPIC, commercial payers) + Coordinate timely record… more
- New York State Civil Service (Albany, NY)
- …Albany State NY Zip Code 12204 Duties Description Duties for this role:*Collaborate closely with the Recovery Audit Contractor ( RAC ) to support audit ... the MDW and utilizing Draft Audit Report (DAR) and Final Audit Report (FAR) procedures.*Verify and validate all contractor -submitted data for accuracy… 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
- AdventHealth (Altamonte Springs, FL)
- …from regulatory agencies including, but not limited to, Additional Development Requests (ADRs), Recovery Audit Contractor ( RAC ) requests, Quality ... team:** + Coordinates all phases of record request processing, including ADRs, RAC requests, and Medicaid audits. + Develops and implements procedures and processes… more
- Hospice of Michigan (Southfield, MI)
- …complete responses to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor ( RAC ) etc., requests and ... participates in appeal processes. + Participates in the development and annual revision of Quality Assessment and Improvement Plans and Program Evaluation. + Participates in analyzing, developing, coordinating and implementing plans of correction for noted… 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
- 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
- SAIC (Washington, DC)
- …+ Manage user accounts, roles, and permissions to maintain data security. + Audit database activities and log changes. + Maintain detailed documentation of database ... including VMWare, Azure (IaaS/PaaS), and on-premises. + Experience with Oracle RAC , Oracle Enterprise Manager, RMAN backups, Oracle Data Guard, and setting… more