- UNC Health Care (Hendersonville, NC)
- …to improve the health and well-being of the unique communities we serve. Summary: The Recovery Audit Contractor ( RAC ) Coordinator (RN) is responsible and ... accountable for all Care Management Denial and Recovery Audit Contractor ( RAC ) requests and follow-ups, including tracking of approvals and denials as… more
- Trinity Health (Des Moines, IA)
- …discrepancies with Medical Records Department and Admitting Department. + Collaborates with the Recovery Audit Contractor ( RAC ) Coordinator and Conifer ... for Medicare/Medicaid RAC Denials management. **MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:** + Current licensure as a registered nurse in the State of Iowa. + Five (5) years clinical nursing experience. + Bachelor of Science - Nursing or degree in… more
- Hospice of Michigan (Ann Arbor, 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
- 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
- Ochsner Health (New Orleans, LA)
- …in a data-driven approach + Facilitate pre-payment reviews and/or participating in recovery audit contractor reviews + Assist Hospital Administration ... in appeals process for retrospective denials + Assist Hospital Administration and the Medical Staff in connection with any regulatory audits, investigation, survey, or other review of the Departments + Ensure consistency of utilization review services, quality… more