Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative ... Knowledge of utilization management process, coding, medical necessity criteria. 3 years of ...
Quick apply
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative ... Knowledge of utilization management process, coding, medical necessity criteria. 3 years of ...
Quick apply
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative ... Knowledge of utilization management process, coding, medical necessity criteria. 3 years of ...
$19.75 - $24.50/hr
The Denial Management Coordinator oversees the coordination and tracking of Rochester Regional Health responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC ...
$19.75 - $24.50/hr
The Denial Management Coordinator oversees the coordination and tracking of Rochester Regional Health responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC ...
... and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely ... by management. EDUCATION & EXPERIENCE: * Graduate from a school of nursing (LPN or RN), required
... and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely ... by management. EDUCATION & EXPERIENCE: * Graduate from a school of nursing (LPN or RN), required
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management ...
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management ...
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management ...
The RAC Coordinator is responsible for developing, interpreting, and implementing operational requirements for the CMS Recovery Audit Contractor program and has accountability for daily management ...
Saint Augustine, FL · Remote
$15.50 - $20/hr
... management, tracking, and secure transmission of medical records and supporting documentation for the VA Recovery Audit Contractor (RAC) Program. This position serves as a liaison between healthcare ...
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Saint Augustine, FL · Remote
$15.50 - $20/hr
... management, tracking, and secure transmission of medical records and supporting documentation for the VA Recovery Audit Contractor (RAC) Program. This position serves as a liaison between healthcare ...
$19.75 - $25.50/hr
Case Manager - Recovery | Las Cruces Recovery Center | Las Cruces, New Mexico About the Job ... contracted network providers or community resources; Ensures all covered services identified on the ...
$19.75 - $25.50/hr
Case Manager - Recovery | Las Cruces Recovery Center | Las Cruces, New Mexico About the Job ... contracted network providers or community resources; Ensures all covered services identified on the ...
$19.75 - $25.50/hr
Case Manager - Recovery | Las Cruces Recovery Center | Las Cruces, New Mexico About the Job ... contracted network providers or community resources; Ensures all covered services identified on the ...
$19.75 - $25.50/hr
Case Manager - Recovery | Las Cruces Recovery Center | Las Cruces, New Mexico About the Job ... contracted network providers or community resources; Ensures all covered services identified on the ...
Saint Joseph, MO · On-site
Manages the process of investigation and response to issues identified by the Recovery Audit Contractor (RAC), Medicare Administrative Contractor MAC, Zone Program Integrity Contractor (Z-PIC) or ...
Saint Joseph, MO · On-site
Manages the process of investigation and response to issues identified by the Recovery Audit Contractor (RAC), Medicare Administrative Contractor MAC, Zone Program Integrity Contractor (Z-PIC) or ...
$55K - $96K/yr
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
$55K - $96K/yr
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
$55K - $96K/yr
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
$55K - $96K/yr
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
$89K - $110K/yr
Recovery Audit Contractor (RAC) * Zone Program Integrity Contractor (ZPIC) * Health Care Fraud ... Conducts close-out meetings with senior management of applicable department. Coordinates audit ...
$89K - $110K/yr
Recovery Audit Contractor (RAC) * Zone Program Integrity Contractor (ZPIC) * Health Care Fraud ... Conducts close-out meetings with senior management of applicable department. Coordinates audit ...
... Recovery Audit Contractors (RAC) and other third party auditors. Nurse Auditor will document ... Knowledge of InterQual and Principles of Managed Care preferred.
... Recovery Audit Contractors (RAC) and other third party auditors. Nurse Auditor will document ... Knowledge of InterQual and Principles of Managed Care preferred.
... revenue recovery * Proven experience managing global teams , including operations based in the ... Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
... revenue recovery * Proven experience managing global teams , including operations based in the ... Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
Garden City, NY · On-site
$87K/yr
... Recovery Audit Contractor program, commercial payor audits, patient requested audits and charge ... Performs ancillary service quality assurance reviews and audits, and meets with the Managers and ...
Garden City, NY · On-site
$87K/yr
... Recovery Audit Contractor program, commercial payor audits, patient requested audits and charge ... Performs ancillary service quality assurance reviews and audits, and meets with the Managers and ...
... Recovery Audit Contractors (RAC) and other third party auditors. Nurse Auditor will document ... Knowledge of InterQual and Principles of Managed Care preferred. Equal Opportunity Employer This ...
... Recovery Audit Contractors (RAC) and other third party auditors. Nurse Auditor will document ... Knowledge of InterQual and Principles of Managed Care preferred. Equal Opportunity Employer This ...
The Manager, Recovery Support Specialist is responsible for the overall direction and guidance of ... Facilitates quality through chart audits as required for paraprofessional status. * Works to lessen ...
The Manager, Recovery Support Specialist is responsible for the overall direction and guidance of ... Facilitates quality through chart audits as required for paraprofessional status. * Works to lessen ...
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Manages the process of investigation and response to issues identified by the Recovery Audit Contractor (RAC), Medicare Administrative Contractor MAC, Zone Program Integrity Contractor (Z-PIC) or ...
Manages the process of investigation and response to issues identified by the Recovery Audit Contractor (RAC), Medicare Administrative Contractor MAC, Zone Program Integrity Contractor (Z-PIC) or ...
Communicates audit results to providers, coders, management, and other appropriate staff. Develops ... Recovery Audit Contractor (RAC); Zone Program Integrity Contractor (ZPIC); Health Care Fraud ...
Communicates audit results to providers, coders, management, and other appropriate staff. Develops ... Recovery Audit Contractor (RAC); Zone Program Integrity Contractor (ZPIC); Health Care Fraud ...
$61K - $69.8K
0% of jobs
$69.8K - $78.5K
2% of jobs
$78.5K - $87.3K
4% of jobs
$87.3K - $96.1K
7% of jobs
$104.7K is the 25th percentile. Wages below this are outliers.
$96.1K - $104.9K
12% of jobs
$104.9K - $113.6K
14% of jobs
The median wage is $119.8K / yr.
$113.6K - $122.4K
16% of jobs
$122.4K - $131.2K
16% of jobs
$133.8K is the 75th percentile. Wages above this are outliers.
$131.2K - $140K
15% of jobs
$140K - $148.7K
8% of jobs
$148.7K - $157.5K
6% of jobs
$61K
$120.2K
$157.5K
Full-time
Posted 7 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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We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.
Recruiting and staffing services
501 - 1,000 Employees
Plainfield, IL, US
2012