1 Coordinator-RAC TPE - HS Revenue Audit Corporate Job in Memphis, TN
SORT BY
B
Coordinator-RAC TPE - HS Revenue Audit Corporate
$77k-96k (estimate)
Full Time
2 Months Ago
Baptist Memorial Health is Hiring a Coordinator-RAC TPE - HS Revenue Audit Corporate Near Memphis, TN
Summary
Medicare / Medicaid Appeals Registered Nurse reviews and evaluates medical documentation to support billing compliance and external regulatory requirements.
Responsibilities
Education
Preferred: BSN or RN with BS/BA in Business Administration or Management
Minimum: Diploma RN or RN AD
Experience
Preferred: PREFERRED 5 years of healthcare care experience and 3 years in Medicare billing environment. Previous audit experience, knowledge of InterQual and Medicare Billing practices.
Minimum: Required 2 years of healthcare care experience as RN
Licensure, Registration, Certification
Minimum: RN
Special Skills
Minimum: Strong knowledge of state and federal healthcare laws and regulations. Understanding of CMS coverage and payment methodologies
Training
Minimum: Successful demonstration and detailed understanding of Hospital Revenue Cycle, CPT codes, HCPC codes, modifiers, and the Medicare/Medicaid Appeals Process. Familiarity of billing regulations including federal and guidelines. Must have excellent communication skills and proven ability to present.
About Baptist Memorial Health Care
At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.
At Baptist, We Offer:
Position: 12472 - Coordinator-RAC TPE
Facility: BMHCC Corporate Office
Department: HS Revenue Audit Corporate
Category: Finance and Accounting
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro area
Medicare / Medicaid Appeals Registered Nurse reviews and evaluates medical documentation to support billing compliance and external regulatory requirements.
Responsibilities
- Abstracts pertinent information from the medical record to create appeals for cases denied by governmental payors.
- Educates department staff to issues related to the reimbursement process, as well as other concerns that result from monitoring activities.
- Responsible for resolving issues as they occur.
- Other duties as assigned.
Education
Preferred: BSN or RN with BS/BA in Business Administration or Management
Minimum: Diploma RN or RN AD
Experience
Preferred: PREFERRED 5 years of healthcare care experience and 3 years in Medicare billing environment. Previous audit experience, knowledge of InterQual and Medicare Billing practices.
Minimum: Required 2 years of healthcare care experience as RN
Licensure, Registration, Certification
Minimum: RN
Special Skills
Minimum: Strong knowledge of state and federal healthcare laws and regulations. Understanding of CMS coverage and payment methodologies
Training
Minimum: Successful demonstration and detailed understanding of Hospital Revenue Cycle, CPT codes, HCPC codes, modifiers, and the Medicare/Medicaid Appeals Process. Familiarity of billing regulations including federal and guidelines. Must have excellent communication skills and proven ability to present.
About Baptist Memorial Health Care
At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.
At Baptist, We Offer:
- Competitive salaries
- Paid vacation/time off
- Continuing education opportunities
- Generous retirement plan
- Health insurance, including dental and vision
- Sick leave
- Service awards
- Free parking
- Short-term disability
- Life insurance
- Health care and dependent care spending accounts
- Education assistance/continuing education
- Employee referral program
Position: 12472 - Coordinator-RAC TPE
Facility: BMHCC Corporate Office
Department: HS Revenue Audit Corporate
Category: Finance and Accounting
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro area
Job Summary
JOB TYPE
Full Time
SALARY
$77k-96k (estimate)
POST DATE
03/09/2024
EXPIRATION DATE
06/08/2024
Show more
Similar Jobs
Popular Articles
Top 10 Things to Avoid Putting on a Job Application
Read Article
How to Describe Your Education in a Resume
Read Article
How to Write a Memorable Cover Letter in 5 Ways
Read Article
4 Personal Finance Tips to Make During Job Transition
Read Article
4 Best Camera Setups for Interview
Read Article
Keeping a Job Search Journal: 9 Types of Journaling You Can Do
Read Article
