Central point person for all government claim recovery activities.
Coordinates, initiates, monitors, and responds to all audit requests/demands.
Initiates and monitors the appeal processes in a timely manner.
Performs research, gathers financial data, and conducts focused audits on Medicare and Medicaid billing to analyze, summarize, prepare reports, and make recommendations.
Coordinates with facility subject matter experts when necessary.
6.Uses data or maintains database to track information including but not limited to trends regarding Medicare and Medicaid billing practice both within and outside of the hospital.
Manages internal and external billing audit communications for all audit-related correspondence.
Continuously evaluates and improves processes in preparation for audit requests and in response to audit findings. Assists interdisciplinary teams in identifying and prioritizing areas of process improvement and develop/implement processes and tools to mitigate risk
Join us. Join great. Join the dynamic team at Great Plains Health and be a part of something truly exceptional. At Great Plains Health, we embody a culture defined by authenticity, integrity, and a genuine commitment to listening to both our patients and each other.
As a member of our team, you'll experience a supportive environment where collaboration is key, and every voice is valued. We work together seamlessly, leveraging our collective strengths to provide the highest quality care to our community.
Benefits
Health insurance
Additional Information
Great people. Great careers.
Join the team at Great Plains Health, where you can be a part of something, well, great.
Job Title:
RAC Coordinator
Cost Center:
Revenue Integrity
Job Description:
Position Summary:
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, monitoring, and direction of RAC Activities. This position provides financial data and analysis for internal and external reporting, ensures GPH is prepared for RAC audits, responds to audit requests, challenges questionable determinations, and files timely appeals.
Gphealth · North Platte, NE