search
Home > Greenville jobs > Greenville customer service

Posted: Thursday, February 8, 2018 10:28 AM


Bilingual (Spanish / English) candidates are encouraged
Requisition
32989
Job Class 13;
CLERICAL/ADMINISTRATIVE 13;
13;
FLSA 13;
Non:Exempt 13;
13;
Job Summary 13;
Develops, interprets, and implements operational requirements for flow process and tracking of requests from CMS Recovery (RAC) Program, CMS Medicaid Integrity Program, ACDHHS Program Integrity and Carolina Medical Center For Excellence (CCME) as well as all other payer reviews for medical necessity and DRG validation. Accountable for daily coordination, monitoring, and direction of RAC activities. Provides financial data and analysis for internal and external reporting, ensures the system is prepared for RAC audits, coordinates response to audit requests, challenges questionable determination and assists in filing timely appeals.
13;
Supervisory/Management Responsibilities 13;
This is a non:management job that will report to a supervisor, manager, director or executive. 13;
13;
Minimum Education 13;
High School diploma or equivalent
13;
Minimum Experience 13;
3 years : HIM, RAC and/or revenue cycle experience
13;
Required Certifications/Registrations/Licenses 13;
CPC : CERT PROFESSIONAL CODER : C034 13;
13;
Specific Acceptable Credentials (if applicable) 13;
RHIT, RHIA, CCS, CPC, or CRCA
13;
In lieu of the Above Minimum Requirements 13;
N/A
13;
Other Required Experience 13;
Knowledge of Medicaire reimbursement/payment policies, CMS claims manual, audit reviews and analysis, medical terminology and coding (ICD:9, CPT, etc.) : Preferred
13;
Position Posting Category 13;
Clerical/Administrative
13;

Source: https://www.tiptopjob.com/jobs/78066297_job.asp?source=backpage


• Location: Greenville

• Post ID: 27895057 greenville
greenville.backpage.com is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2018 backpage.com