- UNC Health Care (Rocky Mount, NC)
- …improve the health and well-being of the unique communities we serve. **Summary:** The Recovery Audit Nurse will work closely with other Business Office staff ... retrospective or prospective review, ie - Medicare and Medicaid RA ( Recovery Auditor) programs. **Responsibilities:** + Ensuring compliant billing guidelines +… more
- Discover (Riverwoods, IL)
- …oversight and direction over the management and response of all disaster recovery audit findings, self-identified findings, control deficiencies and emerging ... will be responsible for establishing & maturing the disaster recovery program within Discover. Will define a disaster ...recovery program within Discover. Will define a disaster recovery program that aligns to industry standard frameworks and… more
- University of Virginia (Charlottesville, VA)
- Coordinates all audit activities related to the Medicare Recovery Audit Contractor (RAC) Program, Medicare Administrative Contractor (MAC), Comprehensive ... Error Rate Testing (CERT) reviews, commercial payers, etc. Logs and tracks audit records requests, organizes, coordinates and tracks appeal processes at all levels.… 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, ... mortgage journey. **Job Overview** The Vice President IT Internal Audit leads a team of IT auditors and subject...with technology leadership, in preparation for the 3-year IT audit plan. + Develop and execute a comprehensive risk-based… more
- AutoZone, Inc. (Memphis, TN)
- AutoZone is seeking an Associate Auditor to join our Internal Audit Recovery team. In this role, you will utilize analytical and forensic email review skills to ... audit merchandising negotiations and recover missed funding for merchandising...base of merchandising concepts and programs, as well as recovery industry knowledge, to ensure all recoveries for various… 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 ... COMPETENCIES: Domain/Industry Knowledge & Focus + Broad understanding of recovery audit concepts + Basic awareness of broader industry + Well-developed… 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 ... PRGX. About PRGX: PRGX is a global data management company that pioneered Recovery Audit nearly 50 years ago. We are the leader in source-to-pay analytics and… more
- Citizens (Raleigh, NC)
- …in HashiCorp vault; and Supporting infrastructure Standard events like Disaster Recovery , Audit , Vulnerability and Open Risk remediations. May telecommute ... Leads efforts to implement user and group based security changes and complete audit -related requests for Active Directory and Unix. Implements Okta Single Sign On… 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
- 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
- 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
- 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
- Geisinger (Danville, PA)
- …for being the system wide coding contact person. + Serves as primary Recovery Audit Contractor liaison for coding items. + Formulates appropriate responses ... of the audits as well as recommends career ladder for coders based on audit results. + Evaluates the effectiveness of education and training programs. + Responsible… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Additional research will include Agency for Healthcare Research and Quality (AHRQ), Recovery Audit Program (RAC) Statement-of-Work (SOW), Office of Inspector ... performs all related internal, concurrent, prospective and retrospective coding audit activities across the Hackensack Meridian Health (HMH) network. Reviews… more
- Citigroup (Tampa, FL)
- The Audit Director is a senior level management position responsible for contributing to the strategic direction of Citi's Internal Audit (IA) function, in ... The overall objective of this role is to direct audit activities that support a subset of a product...**_The successful candidate will have a strong background in Recovery & Resolution Planning._** **Responsibilities:** + Deliver multiple current… more
- Hackensack Meridian Health (Hackensack, NJ)
- …denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent appeals iii. Recovery Audit Contractors & levels of appeal iv. Root cause analysis & ... trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate 7. Utilization Review Process a. Subject Matter Expert in the use & application of Utilization Management Criteria ( ie MCG ) b. Supports & Participates in… more
- MyFlorida (Macclenny, FL)
- …+ Picks up department mail daily. + Prepares grade book audits for the Recovery Centers; creates audit sheets; tabulates scores; sends results to supervisors and ... promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency. Within DCF, the Substance Abuse and Mental Health… more
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