Reunion Rehabilitation Hospitals · 2 days ago
Medicare Audit Coordinator
United States
Full-time
Remote
Entry Level
1+ years expReunion Rehabilitation Hospitals is a healthcare facility focused on rehabilitation services, and they are seeking a Medicare Audit Coordinator. The role involves managing responses to Review Choice Demonstration claims, coordinating documentation, and ensuring compliance with Medicare regulations.
Health CareHospitalRehabilitation
Responsibilities
Acts as the main liaison for all RCD-related activities, communicating between departments including providers, Case Managers, Admissions, and Therapy
Submits required documentation, tracks, monitors, and ensures timely submission of requested patient medical records for RCD pre-claim review
Coordinates the timely filing and management of appeals for denied claims
Performs audits, analyzes findings, identifies trends, and reports results to management
Ensures adherence to CMS (Centers for Medicare & Medicaid Services) regulations for the RCD program
Identifies opportunities for streamlining operations and process related to RCD
Qualification
Required
Minimum: 1+ Prior experience with compiling patient records in preparation for audit and analyzing results
Strong interpersonal skills as well as computer skills are required for hospital communication
Strong computer skills, particularly Word, Excel, Adobe Acrobat applications
Strong Knowledge of IRF and Medicare Regulations: A thorough understanding of IRF admission criteria, Medicare coverage rules, and RCD requirements is essential
Excellent Documentation Skills: Ability to review and analyze documentation for accuracy and completeness
Strong Communication and Interpersonal Skills: Ability to effectively communicate with staff, corporate team, and Novitas
Problem-Solving and Analytical Skills: Ability to update the RCDT, analyze trends, and improve the tracking system as needed
Attention to Detail: Meticulous attention to detail is crucial for accurate documentation review and compliance
Detail-oriented, able to meet strict time frames
Preferred
Acts as the main liaison for all RCD-related activities, communicating between departments including providers, Case Managers, Admissions, and Therapy
Submits required documentation, tracks, monitors, and ensures timely submission of requested patient medical records for RCD pre-claim review
Coordinates the timely filing and management of appeals for denied claims
Performs audits, analyzes findings, identifies trends, and reports results to management
Ensures adherence to CMS (Centers for Medicare & Medicaid Services) regulations for the RCD program
Identifies opportunities for streamlining operations and process related to RCD
Benefits
A supportive and collaborative work environment
Opportunities to progress in function, skill, and pay
A competitive wage scale
A comprehensive health and wellness package including medical, dental, and prescription drug coverage
401k
Life insurance
Disability plans
Company
Reunion Rehabilitation Hospitals
Reunion Rehabilitation Hospitals is a rehabilitation hospital that provides individualized care plans for your specific needs. It is a sub-organization of Nobis Rehabilitation Partners.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Lonnie Martinez
Chief Executive Officer
Shawn M.
Chief Executive Officer
Recent News
GlobeNewswire News Room
2023-09-07
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