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Grady Health System · 14 hours ago

HIM/RAC Data Analyst

Atlanta, GA

Full-time

Onsite

Mid Level

Grady Health System is a vital part of Atlanta and the surrounding communities, committed to providing exceptional care and advancing health equity. The HIM/RAC Data Analyst will be responsible for coordinating the RAC appeals processes and ensuring compliance with CMS regulations, while also maintaining reports and preparing data analysis for department leadership.

Hospital & Health Care

Growth Opportunities

Responsibilities

The Recovery Audit Contractors (RAC) Coordinator is responsible for the ongoing and proactive coordination of Grady's RAC appeals processes and CMS related regulations

The coordinator will communicate directly with all appropriate department i.e. Case Management, Coding, Business Office, Revenue Integrity, and Finance

This position is responsible for assuring timely and synchronized responses to RAC audit requests, Medicare Severity Diagnosis Related Groups (MS-DRG) Audit Requests, Outpatient Ambulatory Payment Classification (APC) Requests and any Additional Documentation Requests (ADRs)

The Coordinator maintains reports which accurately track all RAC, DRG, APC and ADR requests, correspondence, actions and outcomes

This position requires effective communication with all RAC and other Audit Request stakeholders along with excellent organization skills to ensure timeliness and accuracy of response requests, as well as continual program development through training and process improvement

Ability to prepare data analysis and reporting for department leadership on a regular basis

This position must develop subject matter expertise on assigned core business areas, including but not limited to a thorough understanding of available software and data analysis and reporting