Appeals Coordinator in Inglewood, CA at CENTINELA HOSPITAL MEDICAL CENTER

Date Posted: 2/28/2018

Job Snapshot

  • Employee Type:
  • Location:
    555 East Hardy Street
    Inglewood, CA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

The appeals coordinator essentially works to coordinate the denials and appeals management process. Appeals coordinator is also responsible for coordinating all audit correspondence, conducting oversight of all RAC/audit functions, and following all RAC/audit activity to closure. Appeals coordinator will help prepare medical records for Government/Commercial payer audits, timely filing of appeal correspondence, track and follow up of denials while working closely with the Corporate RAC team/ Facility Appeals coordinator. The Appeals coordinator will also serve as the primary contact and coordinate the work to maintain integrity of tracking government review audits (RAC, MAC, CERT, ADR, Pre/Post Probes, QIO and Medicaid/Commercial payers) as assigned. The Appeals coordinator will further support the department needs for Release of Information, or other duties as assigned.