- COASTAL Hospitality Associates, LLC. (Kitty Hawk, NC)
- …the guest experience during the overnight shift and assist with guest resolution/service recovery as needed. * Audit , balance, post and report on the front ... accuracy and verify proper cash handling procedures are followed. * Audit , balance and prepare, verify and report on room...and close all bank ticket codes, daily. *Run night audit final after ensuring all revenues are in balance… more
- BioAgilytix (Durham, NC)
- …operations, including incident response, threat monitoring, and disaster recovery planning.Strengthen identity, access, and endpoint security controls across ... integration security standards.Consolidate and oversee business continuity and disaster recovery practices across global sites.Enhance security within lab, OT, and… more
- Eisai, Inc (Nutley, NJ)
- …coverage) for a marketed product across all relevant insurance lines; Lead audit calculations for premium adjustments; Manage the end-to-end process of claim ... and negotiate fees/services with insurance brokerOther: Manage the annual treasury audit and ensure JSOX compliance for all processes; ensure standard operating… more
- ReturnPro (Miami, FL)
- …alternative carriers or last-mile solutions. Billing & Cost Reconciliation Audit weekly carrier invoices, flag discrepancies (eg, address corrections, duplicate ... spend, ensuring alignment with contract terms and pursuing cost recovery when applicable. Operational Optimization Collaborate with warehouse, customer service,… more
- NORTH RANGE BEHAVIORAL HEALTH (Greeley, CO)
- …facing mental health and addiction challenges Values: Customer First: Supporting recovery every day Compassion: Treating all with empathy and respect Collaboration: ... and instructions regarding medication programs offered by medication manufacturers. Audit medications, MARS, and chart documentation according to state regulations;… more
- COLLIN COUNTY MENTAL HEALTH RETARDATION CENTER (Mckinney, TX)
- …of progress notes are signed within 2 business days of service. All audit scores exceed 90% quality standard. Ensures accurate and timely submission of ... experience required CCBHC knowledge and experience preferred. Experience in Texas Recovery and Resiliency (TRR) preferred Knowledge of Trauma-Informed Care Practices… more
- George's, Inc. (Harrisonburg, VA)
- …troubleshooting, data control/security, documentation, software version control, backup/ recovery , and system performance. Assist with hardware/software and ... management, security, technical standards, IT policy, procedure and best practices. Audit and report non-compliance and remediation plans. Assist in the development… more
- PRGX (Grand Rapids, MI)
- …processes, accounts payable operations, or vendor contract terms. + Prior experience in recovery audit or claims processing is a plus. What We Offer ... to work in a global company with a strong reputation in the recovery audit industry. + Collaborative and supportive team environment. + Continuous learning and… more
- Avera (Sioux Falls, SD)
- … audit activities, including support for outside agencies such as Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and other ... and/or post bill encounters. + Develops reports and/or education based on quality audit findings or requested risk areas and evaluates clinicians' and coder coding… more
- New York State Civil Service (Albany, NY)
- …position will include, but may not be limited to:* Collaborating closely with the Recovery Audit Contractor (RAC) to facilitate reviews through the new Draft ... Audit Report (DAR) and Final Audit Report (FAR) procedures.* Contacting appropriate internal OMIG stakeholders and external stakeholders for addressing RAC's… more
- Baylor Scott & White Health (Phoenix, AZ)
- …on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for ... and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities. + Collaborates with… more
- FirstBank PR (San Juan, PR)
- …report and summarizing all observations and recommendations. + Participate in disaster recovery contingency tests and prepare related audit certifications. + ... IT Auditor Internal Audit Department FirstBank PR Our Company At FirstBank...or as part of a team. + Complete assigned audit procedures within established objectives, scope, and time budget.… more
- Community Health Systems (Antioch, TN)
- …multi-hospital or healthcare system environment + Familiarity with SpendMend or similar recovery audit platforms + PMP or similar project management ... physical inventory recaps. + Provide ongoing tracking of unresolved inventory discrepancies. ** Audit & Accounting Liaison** + Serve as the primary contact for… more
- Hospice of Michigan (Southfield, MI)
- …responses to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor (RAC) etc., requests and participates in ... appeal processes. + Participates in the development and annual revision of Quality Assessment and Improvement Plans and Program Evaluation. + Participates in analyzing, developing, coordinating and implementing plans of correction for noted deficiencies. +… more
- Carle Health (Champaign, IL)
- …release of information, chart analysis, radiology file room, central dictation, recovery audit contractor (RAC) activity, charge master coding activities, ... and long-term paper storage. Serves as a resource for HIM topics to medical and administrative committees as needed. Qualifications **Certifications:** + Registered Health Information Administrator (RHIA) or + Registered Health Information Technician (RHIT)… more
- HonorHealth (AZ)
- …efforts + Supports compliance related to consistency of technical and professional: Recovery Audit Contractor (RAC) reviews. + Performs other duties as ... assigned Education + MD or DO Board Certified Physician with a special interest in Utilization Management & Quality Improvement in - Required + Graduates of an accredited medical school - Required Experience + 5 years of recent experience in clinical practice… more
- HCA Healthcare (Brentwood, TN)
- …is met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as ... appropriate + Compose technical denial arguments for reconsideration, including both written and telephonically + Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument + Identify… 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
- Mohawk Valley Health System (Utica, NY)
- …Provide peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit Contractors (RAC's). + Assist with mitigating barriers to ... discharge and care progression. + Perform concurrent review of cases greater than 4 days or the assigned/estimated GMLOS + Partner with the care management team with the management of LOS, complex care needs and patient throughput efforts. Provide transition… more
- City of New York (New York, NY)
- …and ensure staff are using evidence-based techniques to teach coping strategies and recovery tools. - Regularly audit progress notes and treatment plans to ... supervise comprehensive assessment process and monitor the development of individualized recovery plans, ensuring they are tailored to everyone's needs, strengths,… more
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