- UNC Health Care (Hendersonville, NC)
- …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 well as coordinating and… more
- Intermountain Health (Columbus, OH)
- **Job Description:** The Manager, RN Revenue Integrity Audit , Recovery and Appeals organizes and manages the daily operations of the Audit and Recovery ... Revenue Integrity **Job Essentials** + Manages the government and commercial payer audit and recovery programs, solicits feedback, and implements solutions. +… more
- PennyMac (Westlake Village, CA)
- …development life cycle, cybersecurity, privacy, data governance, vendor management, and disaster recovery . Internal Audit partners with every line of business, ... A Typical Day The Senior Vice President, IT Internal Audit provides strategic leadership and oversight to a team...enterprise's strategic initiatives. The Senior Vice President, IT Internal Audit provides will: + Be the Head of IT… more
- PRGX (Bentonville, AR)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- System One (Pittsburgh, PA)
- …of IT General Controls (ITGCs), including access management, change management, and backup/ recovery processes. - Develop and execute audit programs aligned with ... the exact job title and job location in your email message. IT Audit & Assurance : - Conduct risk-based audits over IT infrastructure, cybersecurity, application… more
- City of New York (New York, NY)
- …direction, with wide latitude for independent judgment and decision, the FEMA Recovery Coordinator will oversee compliance, audit preparation and grants ... Public Art Program. The Department of Cultural Affairs is currently seeking a FEMA Recovery Coordinator to serve as the lead project manager for the agency's complex… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... developing training for contract compliance, contract optimization, contract management, profit recovery , audit , or similar organizations. . Preference given to… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... . Job Description SUMMARY: With unmatched experience and expertise in technology-enabled recovery audit services and data analysis resulting in strong and… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- MyFlorida (Tallahassee, FL)
- … efforts. Documentation: + Plan Documentation: Maintain detailed documentation of disaster recovery plans, tests, and outcomes for audit and compliance purposes. ... 68065028 - SYSTEMS PROGRAMMER III / DISASTER RECOVERY ANALYST Date: Apr 21, 2025 The State...Working Title: 68065028 - SYSTEMS PROGRAMMER III / DISASTER RECOVERY ANALYST Pay Plan: Career Service Position Number: 68065028… more
- HUB International (Chicago, IL)
- …their DR plans. + Collaborate with Security/Compliance teams to ensure DR and Backup/ Recovery activities meet all compliance and audit requirements. + Develop ... the Director of Cloud and Data Centers, the Manager of Backup and Disaster Recovery will be a hands-on contributor responsible for overseeing and managing the IT… more
- Granville Medical Center (Oxford, NC)
- …indicators. * Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, ... and other audit programs, recognizing and disseminating to physicians the importance of clinical documentation for both the physician and the hospital. * Reviews… more
- Granville Health System (Oxford, NC)
- …Admission indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) ... program, and other audit programs, recognizing and disseminating to physicians the importance of clinical documentation for both the physician and the hospital.#… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- Aston Carter (Arlington, VA)
- …collection process with a key account. You will help to manage collections and post- audit recovery to reduce non-working trade at top accounts. You will also ... Responsibilities + Work proactively with Account Managers to review and analyze post- audit claims to determine validity and seek repayment from customers if claims… more
- Catholic Health Initiatives (Omaha, NE)
- …in a data-driven approach + Facilitate pre-payment reviews and/or participating in recovery audit contractor reviews + Assist Hospital Administration in billing ... for the technical component of the services rendered by the Departments, including initial billings, follow-up reports, and appeals in cases of retrospective denials + Assist Hospital Administration and the Medical Staff in connection with any regulatory… more
- Trinity Health (Des Moines, IA)
- …with Medical Records Department and Admitting Department. + Collaborates with the Recovery Audit Contractor (RAC) Coordinator and Conifer for Medicare/Medicaid ... RAC Denials management. **MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:** + Current licensure as a registered nurse in the State of Iowa. + Five (5) years clinical nursing experience. + Bachelor of Science - Nursing or degree in healthcare-related field… more
- Trinity Health (Silver Spring, MD)
- …or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors. **MINIMUM QUALIFICATIONS** Graduate of an accredited ... medical school * Completion of specialty residency (eg, Internal Medicine, Emergency Medicine) **Experience:** * Five years recent experience in clinical practice in a hospital strongly preferred * Previous experience as a physician advisor preferred *… more
- Ochsner Health (New Orleans, LA)
- …in a data-driven approach + Facilitate pre-payment reviews and/or participating in recovery audit contractor reviews + Assist Hospital Administration in appeals ... process for retrospective denials + Assist Hospital Administration and the Medical Staff in connection with any regulatory audits, investigation, survey, or other review of the Departments + Ensure consistency of utilization review services, quality control,… more
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