... Medicare home health/hospice regulations (OASIS/PDGM, hospice benefit, QRP) and accreditation standards (e.g., ACHC, CHAP if relevant). * Manage all audits and surveys: plan for and respond to RAC ...
... Medicare home health/hospice regulations (OASIS/PDGM, hospice benefit, QRP) and accreditation standards (e.g., ACHC, CHAP if relevant). * Manage all audits and surveys: plan for and respond to RAC ...
DIRECTOR OF QUALITY - Compliance Officer
Troy, MI · On-site
$110 - $140/hr
... Medicare home health/hospice regulations (OASIS/PDGM, hospice benefit, QRP) and accreditation standards (e.g., ACHC, CHAP if relevant). * Manage all audits and surveys: plan for and respond to RAC ...
DIRECTOR OF QUALITY - Compliance Officer
Troy, MI · On-site
$110 - $140/hr
... Medicare home health/hospice regulations (OASIS/PDGM, hospice benefit, QRP) and accreditation standards (e.g., ACHC, CHAP if relevant). * Manage all audits and surveys: plan for and respond to RAC ...
... Medicare home health/hospice regulations (OASIS/PDGM, hospice benefit, QRP) and accreditation standards (e.g., ACHC, CHAP if relevant). * Manage all audits and surveys: plan for and respond to RAC ...
... Medicare home health/hospice regulations (OASIS/PDGM, hospice benefit, QRP) and accreditation standards (e.g., ACHC, CHAP if relevant). * Manage all audits and surveys: plan for and respond to RAC ...
MDS Nurse
Saginaw, MI · On-site
$31.75 - $41.50/hr
Monitor Medicare, managed care, and reimbursement requirements to ensure timely and accurate ... Resident Assessment Coordinator (RAC) certification or willingness to obtain within 12 months of ...
MDS Nurse
Saginaw, MI · On-site
$31.75 - $41.50/hr
Monitor Medicare, managed care, and reimbursement requirements to ensure timely and accurate ... Resident Assessment Coordinator (RAC) certification or willingness to obtain within 12 months of ...
Health - Accountant
Perronville, MI · On-site
$60K/yr
... data for the Annual Audits, including the Medicare cost report by compiling visit and cash ... One-year internship or experience as an Accountant is required. Certification/License: · Certified ...
Quick apply
Health - Accountant
Perronville, MI · On-site
$60K/yr
... data for the Annual Audits, including the Medicare cost report by compiling visit and cash ... One-year internship or experience as an Accountant is required. Certification/License: · Certified ...
Health - Accountant
Perronville, MI · On-site
$60K/yr
... data for the Annual Audits, including the Medicare cost report by compiling visit and cash ... One-year internship or experience as an Accountant is required. Certification/License: • ...
Health - Accountant
Perronville, MI · On-site
$60K/yr
... data for the Annual Audits, including the Medicare cost report by compiling visit and cash ... One-year internship or experience as an Accountant is required. Certification/License: • ...
Health - Accountant
Perronville, MI · On-site
... data for the Annual Audits, including the Medicare cost report by compiling visit and cash ... One-year internship or experience as an Accountant is required. Certification/License: · Certified ...
Health - Accountant
Perronville, MI · On-site
... data for the Annual Audits, including the Medicare cost report by compiling visit and cash ... One-year internship or experience as an Accountant is required. Certification/License: · Certified ...
Internship Medicare Rac Audit information
What is the difference between Internship Medicare Rac Audit vs Internship Medicare Billing Specialist?
| 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.
What cities in Michigan are hiring for Internship Medicare Rac Audit jobs?
Cities in Michigan with the most Internship Medicare Rac Audit job openings:
DIRECTOR OF QUALITY - Compliance Officer
Troy, MI • On-site
Custom Home Health Inc •
201 - 500 employees201 - 500 employees
Full-time
Re-posted 5 days ago
Job description
Are you looking to join a team that values integrity, collaboration, and continuous improvement?
Position: Director of Quality/Compliance Officer – Home Health & Hospice
Reports to: CEO/Administrator
Location: Hybrid position
Responsibilities:
- Lead agency-wide compliance and quality: oversee QA department, Quality Assurance & Performance Improvement (QAPI) initiatives, and Education/Training team.
- Ensure adherence to all Medicare home health/hospice regulations (OASIS/PDGM, hospice benefit, QRP) and accreditation standards (e.g., ACHC, CHAP if relevant).
- Manage all audits and surveys: plan for and respond to RAC/UPIC requests, state surveys, and internal reviews.
- Oversee OASIS and HOPE/HIS data quality: review trends, error rates, and implement corrective action plans.
- Develop, update, and enforce policies and procedures (Medicare CoPs, documentation requirements, compliance plans).
- Conduct regular compliance training for clinicians (OASIS training, documentation accuracy, HIPAA).
- Oversee Staff Orientation and education program: ensure staff continuing education, certification renewals, competency evaluations, and ongoing professional development in compliance with organizational and regulatory requirements.
- Monitor Medicare denials and appeals: work with billing and clinical staff to correct systemic issues.
- Collaborate with clinical leadership and the governing board on compliance strategy, reporting key metrics.
Qualifications (Must):
- Certifications: OASIS (COS-C or HCS-O) and coding (HCS-D or HCS-H or CPC/CCS).
- Experience: 5+ years in home health/hospice clinical or coding roles, with 2+ years in QA/compliance leadership.
- Medicare Knowledge: Deep understanding of PDGM, HH PPS, Hospice Medicare rules, and documentation standards.
- Education: Bachelor’s in nursing, preferred.
- Licensed RN.
- Management: Experience supervising teams (QA, education, coders). Strong policy development and analytical skills.
Preferred (Nice to Have):
- Certifications: OASIS (COS-C or HCS-O) and coding (HCS-D or HCS-H or CPC/CCS).
- Compliance/Quality certifications (e.g. CHC, CHPC, CPHQ).
- Experience with HOPE implementation or Hospice Quality measures.
- Prior success leading multi-disciplinary committees.
About Custom Home Health
Sourced by ZipRecruiter
Company size
201 - 500 Employees
Headquarters location
Troy, MI, US
Year founded
2011