MEDICARE DENIAL COORDINATOR
Yale New Haven Health Services - New Haven, CT

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SUMMARY This position is responsible for the administration, systems development and oversight processes relating to Recovery Audit Contractor (RAC) and Medicare payment audit activities at Greenwich Hospital . Duties include the development of systems and management processes that enable Greenwich Hospital to identify and track RAC and audit requests. Performs a wide range of review and management activities in an attempt to prevent Medicare denials and to recover payment for services that have been denied. Additionally this position is responsible for the management of Medicare denials including payment discrepancies, medical necessity and coding issues. This involves both additional documentation recovery (ADR) and the NGS audits as well. QUALIFICATIONS Bachelors degree in a business related field preferred. Minimum of five (5) years progressive related experience including experience in hospital billing particularly Medicare. Must have experience in an administrative or supervisory capacity. Experience working with billing systems, medical coding and terminology. Current knowledge of Medicare billing regulations and RAC process required. Ability to handle multiple projects and analyze complex problems. Strong written skills with ability to write concise well thought appeal letters. Strong Excel skills. Responsible for the administration, systems development and oversight processes relating to Recovery Audit Contractor (RAC) and Medicare payment audit activities at Greenwich Hospital . This includes the development of systems and management processes that enable Greenwich Hospital to identify and track RAC and audit requests. Additionally this position is responsible for the management of Medicare denials including payment discrepancies, medical necessity and coding issues. This involves both additional documentation requests (ADR) and the NGS audits as well.

Job Number:
37783

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Yale New Haven Health - 20 months ago - save job - block
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