INSURANCE RAC AUDITOR
| at | |
| Location | Rockford, IL |
| Date Posted | August 8, 2018 |
| Category |
Compliance
|
| Job Type |
Full-time
|
Description
Reviews clinical payment denials for medical necessity with a focus on IL Medicaid and Medicare denials and other payor audits. Coordinate RAC related reviews and follow-up by consulting medical staff, CDI, and coding if additional clinical support is needed for determination and dispute of denial. Update accounts in Auda Pro, communicate findings to Patient Financial Services regarding outcomes...