CONTRACTOR

FEED

UNKNOWN

As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.

100% Onsite role - Only Locals from Orange County OR within 25 miles from Costa Mesa Position Summary: The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed. This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed. This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Required Skills & Experience: 3 years of Medicare billing experience in billing, follow up, in an acute care setting Experience working on complex projects. -1-3 years of experience in healthcare acute setting regulatory audits and appeals. Experience with and understanding of CMS billing, payment and reimbursement methodologies. Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations. Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook). Preferred Skills & Experience: 5 years of experience or more in an acute setting. 3 years of experience in healthcare acute setting regulatory audits and appeals. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits. 5 years of experience in Medicare billing, follow up, appeals. -Knowledge of utilization management process, coding, medical necessity criteria. Required Education: High school diploma or equivalent experience.

Integrated Resources, Inc

Government Audit Recovery Specialist

Acute Care

Apple Macs

Auditing

Billing

Billing Records

Centers for Medicare and Medicaid Services (CMS)

Content Management Systems (CMS)

Data Entry

Government

Government Contracts

Government Regulations

Healthcare

Mail Processing

Medi-Cal

Medicaid

Medical Billing

Medical Coding

Medicare

Microsoft Excel

Microsoft Office

Microsoft Outlook

Microsoft PowerPoint

Microsoft Word

Organizational Development/Management

Privacy Controls

Privacy Regulations

Quality Management

Regulations

Reimbursement

Testing

Training/Teaching

Utilization Management

As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.

Position Summary: The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed. This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Skills: Required Skills & Experience: 3 years of Medicare billing experience in billing, follow up, in an acute care setting. Experience working on complex projects. 1-3 years of experience in healthcare acute setting regulatory audits and appeals. Experience with and understanding of CMS billing, payment and reimbursement methodologies. Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations. Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook). Preferred Skills & Experience: 5 years of experience or more in an acute setting. 3 years of experience in healthcare acute setting regulatory audits and appeals. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits. 5 years of experience in Medicare billing, follow up, appeals. Knowledge of utilization management process, coding, medical necessity criteria. 3 years of Medicare billing experience in billing, follow up, in an acute care setting Experience working on complex projects 1-3 years of experience in healthcare acute setting regulatory audits and appeals Experience with and understanding of CMS billing, payment and reimbursement methodologies Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook). Preferred: 5 years of experience or more in an acute setting 3 years of experience in healthcare acute setting regulatory audits and appeals Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits 5 years of experience in Medicare billing, follow up, appeals Knowledge of utilization management process, coding, medical necessity criteria Education: Required Education: High school diploma or equivalent experience. Required Certifications & Licensure: High school diploma or equivalent experience Languages: English Schedule Notes: Is this position Remote No Work Location Address: 2995 Red Hill Ave Costa Mesa CA LOA Coverage

Apidel Technologies

English Language

partner Conrep

Contractor Government Jobs in Long Beach, CA

Contractor Government Jobs in Long Beach, CA

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Contractor Government Jobs in Long Beach, CA

Government Audit Recovery Specialist Integrated Resources, Inc

Government Audit Recovery Specialist Apidel Technologies

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