Clinical Appeals Auditor - Lafayette
1 month ago
Job summary
As a Clinical Appeals Auditor with Shared Services, you will play a key role in ensuring the accuracy and integrity of clinical documentation. You will work closely with the Governmental Audit Supervisor to review and respond to governmental audits, including ADRs, RACs, CERTs, and ZPICs.Responsibilities
- Reviews clinical documentation for Home Health, Hospice, LTACHs, and Community-Based Services in response to governmental audits (e.g., ADRs, RACs,CERTS,ZPIC)
- Ensures consistency in clinical reviews through standardized processes and high inter-rater reliability.
Job description
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