Government Audit Recovery Specialist

Adecco Healthcare is working with our client in Costa Mesa, CA to hire an on-site Government Audit Recovery Specialist for a temporary assignment.

Type: Temp/Contract

Hours: Monday - Friday 8a-5p

Pay Range: $25-$35/hour - DOE

Responsibilities Include:

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 including:

• - data entry

• - processing of mail

• - preparation of audit information

• - 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

Requirements Include:

• - HS Diploma or GED

• -A fundamental understanding of the RAC program and other audits for documentation and billing compliance

• •    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)

Preferred Requirements Include:

•    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

Why work for Adecco?

·         Weekly Pay

·         401(k) Plan

·         Skills Training

·         Excellent medical, dental, and vision benefits

Pay Details: $25.00 to $35.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.