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Recovery Audit Contractor (RAC) Audit Assistant

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Company: LifePoint Hospitals

Location: Lander, WY

Date Posted: July 16, 2014

Source: Lifepoint Hospitals

The Recovery Audit Contractor (RAC) Audit Assistant is responsible for facilitating and monitoring the RAC process by tracking the identified RAC accounts. This entails updating the identified tracking tool. Facilitates new and continuing chart audits from all sources. Collects and utilizes data to monitor and evaluate the appropriateness and effectiveness of these services in accordance with the organization's PHI model. Communicates with System HIM Director, System Case Management Director, physicians, payors and others health care providers to ensure quality care and promote fiscal responsibility through the appropriate utilization of resources. Facilitates the overall quality, completeness and accuracy of the medical record. Assist with the ongoing development and delivery of education on documentation guidelines, support medical necessity processes, and coding and reimbursement rules for all members of the patient care team. Through interaction with physicians, nurses and other professionals achieves appropriate documentation to support these activities.  Required: Four ...
The Recovery Audit Contractor (RAC) Audit Assistant is responsible for facilitating and monitoring the RAC process by tracking the identified RAC accounts. This entails updating the identified tracking tool. Facilitates new and continuing chart audits from all sources. Collects and utilizes data to monitor and evaluate the appropriateness and effectiveness of these services in accordance with the organization's PHI model. Communicates with System HIM Director, System Case Management Director, physicians, payors and others health care providers to ensure quality care and promote fiscal responsibility through the appropriate utilization of resources. Facilitates the overall quality, completeness and accuracy of the medical record. Assist with the ongoing development and delivery of education on documentation guidelines, support medical necessity processes, and coding and reimbursement rules for all members of the patient care team. Through interaction with physicians, nurses and other professionals achieves appropriate documentation to support these activities.  Required: Four to five years office experience. Demonstrate effective written and verbal communication skills. Proficiency with PC word processor and spread sheet programs. Knowledgeable of the principles of process improvement including data collection, analysis and reporting. Demonstrated ability to organize and prioritize. Possess thorough understanding of Protected Health Information (PHI) associated with Health Insurance Portability and Accountability Act (HIPPA).
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