- 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
- HCA Healthcare (Ocala, FL)
- …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
- 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