Providence Health Plan · 1 day ago

Recovery Audit Contract Representative Remote. Most states eligible

Apple Valley, CA

Contract

Remote

Mid Level

$22.07/hr - $32.36/hr

3+ years exp

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Responsibilities

Under the direction of ministry HIM management, HIM Audit Recovery Coordinator is principally responsible for the coordination and processing of audit information for additional document requests, appeals, validation, and data reporting.

The caregiver researches, compiles, and submits requested data to external agencies and maintains the Audit Tracking System for the ministry.

The Audit Recovery Coordinator is the liaison between the ministry, business office, care management, legal consultants, provider, third party payers and other departments.

Qualification

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HIM experienceOIG auditsCMS auditsMedicare auditsElectronic medical recordsHealth Information TechnologyHealth Information ManagementRecovery Audit coordination