INSURANCE RAC AUDITOR

at Mercyhealth
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...

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