Government Audit Recovery Specialist
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Overview
Remote
On-site
Compensation
$27-$32/hour
Job Description
Our Client, a Healthcare company, is looking for a Government Audit Recovery Specialist for their Costa Mesa, CA location.Responsibilities:
- The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance.
- This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed.
- Responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.
- Performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance.
- This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed.
- 3 years of Medicare billing experience in billing, follow up, in an acute care setting.
- Experience working on complex projects.
- 1-3 years of experience in healthcare acute setting regulatory audits and appeals.
- Experience with and understanding of CMS billing, payment and reimbursement methodologies.
- Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations.
- Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
- 5 years of experience or more in an acute setting.
- 3 years of experience in healthcare acute setting regulatory audits and appeals.
- Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
- 5 years of experience in Medicare billing, follow up, appeals.
- Knowledge of utilization management process, coding, medical necessity criteria.
- High school diploma or equivalent experience (employees hired prior to 2011 without a HS diploma are grandfathered into their position)
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
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FAQs About Government Audit Recovery Specialist Jobs at Iconma
What is the work location for this position at Iconma?
This job at Iconma is located in Costa Mesa, CA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Iconma?
Candidates can expect a pay range of $27–$32 per hour for this role.
What employment applies to this position at Iconma?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at Iconma?
You can apply for this role at Iconma either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.