Director Medicare Rac Audit Jobs in Rye, NY (NOW HIRING)

Write clear, accurate, and concise rationales supporting audit findings. Compose physician queries ... and/or RAC Determinations. Provide written recommendations for optimal coding and DRG / SOI ...

... Medicare, Medicaid, and HIPAA requirements. The Compliance Director serves as a strategic leader ... Coordinates organizational audit readiness efforts and assist departments in preparing for ...

... Medicare, Medicaid, and HIPAA requirements. The Compliance Director serves as a strategic leader ... Coordinates organizational audit readiness efforts and assist departments in preparing for ...

Monitors and audits clinical records, assures accuracy and timeliness. * Informs PI Director of ... Maintains current working knowledge of Medicare criteria, serving as a resource for nursing staff ...

Overview The Director of Performance Improvement provides leadership for the Home Care Division ... Oversees Medicare and commercial payer audits, medical reviews, appeals, and related documentation ...

Overview The Director of Performance Improvement provides leadership for the Home Care Division ... Oversees Medicare and commercial payer audits, medical reviews, appeals, and related documentation ...

Overview The Director of Performance Improvement provides leadership for the Home Care Division ... Oversees Medicare and commercial payer audits, medical reviews, appeals, and related documentation ...

... Medicare and Medicaid populations. This is an outstanding opportunity for a physician who enjoys ... Support organizational readiness for audits, surveys, regulatory reviews, and investigations.

... Medicare and Medicaid populations. This is an outstanding opportunity for a physician who enjoys ... Support organizational readiness for audits, surveys, regulatory reviews, and investigations.

... Medicare and Medicaid populations. This is an outstanding opportunity for a physician who enjoys ... Support organizational readiness for audits, surveys, regulatory reviews, and investigations.

... Medicare and Medicaid populations. This is an outstanding opportunity for a physician who enjoys ... Support organizational readiness for audits, surveys, regulatory reviews, and investigations.

Successfully pass audit (educational and marketing) exams. * Additional duties as assigned. Work ... Ability to work majority of time outside of HF offices with little direct supervision * Strong ...

Successfully pass audit (educational and marketing) exams. * Additional duties as assigned. Work ... Ability to work majority of time outside of HF offices with little direct supervision * Strong ...

Conduct complex coding audits and documentation reviews for accuracy, completeness, and regulatory ... Strong knowledge of CMS regulations, Medicare Advantage, NYS Medicaid, HEDIS, and risk adjustment ...

Key Responsibilities * Conduct complex coding audits and documentation reviews for accuracy ... Strong knowledge of CMS regulations, Medicare Advantage, NYS Medicaid, HEDIS, and risk adjustment ...

Conduct complex coding audits and documentation reviews for accuracy, completeness, and regulatory ... Strong knowledge of CMS regulations, Medicare Advantage, NYS Medicaid, HEDIS, and risk adjustment ...

Conduct complex coding audits and documentation reviews for accuracy, completeness, and regulatory ... Strong knowledge of CMS regulations, Medicare Advantage, NYS Medicaid, HEDIS, and risk adjustment ...

Conduct complex coding audits and documentation reviews for accuracy, completeness, and regulatory ... Strong knowledge of CMS regulations, Medicare Advantage, NYS Medicaid, HEDIS, and risk adjustment ...

Provides billing department with information regarding resource utilization groups for Medicare ... RAC - CT is highly preferred * Registered Nurse in State of New Jersey Job Setting /Physical ...

Provides billing department with information regarding resource utilization groups for Medicare ... RAC - CT is highly preferred * Registered Nurse in State of New Jersey Job Setting /Physical ...