- UNC Health Care (Hendersonville, NC)
- …to improve 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… more
- Hartford HealthCare (Farmington, CT)
- …are top priority and time sensitive; Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor ( RAC ), Executive Health Resources (EHR), ... and payer medical record audits. Provides oversight for designated regulatory audit activity throughout HHC HIM. Oversees and monitor payment protocol through… 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… more