Employer Active
Title: Government Audit Recovery Specialist
Location: Costa Mesa, CA 92626
Duration: 6 Months temp to hire
Shift: Mon-Fri, 40 hours/week (Start anytime between 7am-9am)
**Must have experience with Medicare FISS system/DDE, knowledge of the DDE system for claims status, adjustments, etc.**
**100% onsite**
DUTIES:
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. This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is 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.
SKILLS:
Preferred:
EDUCATION:
High school diploma or equivalent experience
Full Time