Skills:
Knowledgeable of ICD-9-CM, InterQual level of care criteria Experience in 3M, Horizon Patient Folder (HPF), and Meditech Excellent computer skills and Ms. Office Knowledgeable of RAC, MAC, CERT, QIO and other CMS auditing processes Expertise in responding to Recovery Audit Contractors requests Strong organization and time management skills Excellent communication skills Punctual, and detail oriented Knowledge of Medicare reimbursement (APC/OPPS/DRG) Strong Clinical Knowledge of Disease Pathophysiology, Processes, & Pharmacology