The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Quick apply
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6.Finalize and sign-off with those auditors on agreed upon ...
Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6.Finalize and sign-off with those auditors on agreed upon ...
Experience working with RAC, MAC, TPE, CERT, OIG, Medicaid, Medi-Cal, and related audits * Experience with Medicare appeals and utilization management processes * Knowledge of coding and medical ...
Quick apply
Experience working with RAC, MAC, TPE, CERT, OIG, Medicaid, Medi-Cal, and related audits * Experience with Medicare appeals and utilization management processes * Knowledge of coding and medical ...
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
... Medicare, Medicaid, and other payer reimbursement requirements. This position plays a key role in ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
... Medicare, Medicaid, and other payer reimbursement requirements. This position plays a key role in ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
Hattiesburg, MS · On-site
... RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves ... Must have thorough knowledge and experience in Medicare rules and regulations and billing and ...
Hattiesburg, MS · On-site
... RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves ... Must have thorough knowledge and experience in Medicare rules and regulations and billing and ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Minot, ND · On-site
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · On-site
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · Remote
$172K - $216K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · Remote
$172K - $216K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · Remote
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
Minot, ND · Remote
$193K - $242K/yr
Respond to payor audits conducted by the CMS RAC contractor, Medicare, Medicaid, as well as all other payors. Analyzes data, communicates findings, and facilitates improvement efforts with the ...
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
Gainesville, GA · On-site
$34.50 - $41.75/hr
Summary: MDS RAC certified : Manages, directs and coordinates, MDS assessments and completion ... Completes weekly chart audits to assess documentation support for skilled Medicare coverage.
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
$53.10 - $58.39/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
$53.10 - $58.39/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
San Gabriel, CA · On-site
$53.10/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
San Gabriel, CA · On-site
$53.10/hr
... resources." Medicare defines Medical necessity as "health care services or supplies needed to ... Leads in RAC preparedness and assists facility in the time of RAC Audits. * Participates in ...
$2.1K - $2.6K
4% of jobs
$2.6K - $3.1K
7% of jobs
$3.1K - $3.6K
9% of jobs
$3.6K - $4.2K
3% of jobs
$4.4K is the 25th percentile. Wages below this are outliers.
$4.2K - $4.7K
3% of jobs
$4.7K - $5.2K
0% of jobs
$5.2K - $5.7K
0% of jobs
$5.7K - $6.2K
0% of jobs
$6.2K - $6.8K
0% of jobs
$6.8K - $7.3K
1% of jobs
The median wage is $7.4K / yr.
$7.3K - $7.8K
72% of jobs
$2.1K
$6.4K
$7.8K
| Aspect | Internship Medicare Rac Audit | Internship Medicare Billing Specialist |
|---|---|---|
| Certifications | Knowledge of RAC audit processes, basic healthcare compliance | Understanding of billing codes, insurance procedures |
| Work Environment | Healthcare compliance departments, government agencies | Medical offices, billing departments |
| Industry Usage | Focuses on audit review and reimbursement recovery | Focuses on billing, claims submission, and coding |
Internship Medicare Rac Audit roles primarily involve reviewing healthcare claims for compliance and reimbursement issues, while Internship Medicare Billing Specialist positions focus on processing claims and coding. Both roles require knowledge of healthcare regulations but differ in their core responsibilities and work settings.
Full-time
Posted 23 days ago
Position Summary:
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed. This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.
Skills:
Required Skills & Experience:
3 years of Medicare billing experience in billing, follow up, in an acute care setting.
Experience working on complex projects.
1-3 years of experience in healthcare acute setting regulatory audits and appeals.
Experience with and understanding of CMS billing, payment and reimbursement methodologies.
Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations.
Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred Skills & Experience:
5 years of experience or more in an acute setting.
3 years of experience in healthcare acute setting regulatory audits and appeals.
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
5 years of experience in Medicare billing, follow up, appeals.
Knowledge of utilization management process, coding, medical necessity criteria.
3 years of Medicare billing experience in billing, follow up, in an acute care setting
Experience working on complex projects
1-3 years of experience in healthcare acute setting regulatory audits and appeals
Experience with and understanding of CMS billing, payment and reimbursement methodologies
Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations
Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred:
5 years of experience or more in an acute setting
3 years of experience in healthcare acute setting regulatory audits and appeals
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits
5 years of experience in Medicare billing, follow up, appeals
Knowledge of utilization management process, coding, medical necessity criteria
Education:
Required Education:
High school diploma or equivalent experience.
Required Certifications & Licensure:
High school diploma or equivalent experience
Languages:
English
Schedule Notes:
Is this position Remote No Work Location Address: 2995 Red Hill Ave Costa Mesa CA LOA Coverage
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Recruiting and staffing services
501 - 1,000 Employees
Plainfield, IL, US
2012