that audit adjustments are made and corrective actions are taken to address identified billing, charging, and documentation... and counterparts at payers as appropriate. Coordinates Recovery Audit Contractor (RAC) audits and direct appeal activity related...
and following up on all payer audit record requests, audit responses and appeals for the CMS Recovery (RAC) Program, CMS Medicaid.../statuses or abuses. Essential Functions Receives, logs and tracks all RAC, MAC, CERT, other Government payer audit...
that supports operational/state business partners in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC... the end to end preparation and development of the most complex pro forma adjustments that are relied upon to support base...
that supports operational/state business partners in the filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC... the end to end preparation and development of the most complex pro forma adjustments that are relied upon to support base...
with actionable components and measurable outcomes. Proactively monitors key performance indicators and makes real-time adjustments... job descriptions and performance standards for all job classifications. Develops and lead interactive discussions/education related to RAC compliance...
usage data to forecast sales and revenues to support pro forma adjustments and forecast test year information regarding... filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC, trackers, etc). Ensure the financial support...
usage data to forecast sales and revenues to support pro forma adjustments and forecast test year information regarding... filing of base rate cases and alternative regulatory mechanisms (DSIC, RAC, trackers, etc). Ensure the financial support...
of suggested improvement. Prepare and submit all aspects of Medicare RAC, TPE, and CERT reviews and audits. Assists with related... tasks. Able to maintain productivity and judgment in a fast-paced environment with occasional schedule adjustments...
, and deploys Red Hat Linux and Oracle Enterprise Linux systems. Supports Linux/Unix systems in an Oracle RAC environment... starting base pay for this role is between $113,181.00 and $150,908.00 per year and may include cost of living adjustments. The...
. Works with IS Programmers to test LastWord/Centricity upgrades and fixes, liaison for RAC related issues, internal... and with RAC agency. Works with various teams to ensure that efficient Medicare and patient accounts processes and procedures...