Get new jobs by email
- ...DMEPOS, home health, post-acute, infusion, or specialty pharmacy experience preferred Experience defending prepayment review, TPE, UPIC, or RAC actions preferred Familiarity with the Medicare DMEPOS Competitive Bidding Program preferred Experience as a first legal hire...Suggested
- ...Participate in the completion of remote and on-site chart audits for clients regarding clinical, HOPE, and billing issues. Conduct ADR/UPIC/SMRC/OIG chart reviews for clients upon request. Document summary reports regarding the results of these audits and forward them to...SuggestedFull timeLocal areaImmediate startRemote work
- ...policies and payer rules across multiple jurisdictions and is able to do multiple types of reviews/audits Preferred Experience: RAC, UPIC, or commercial payer audit response Multi-state Medicaid policy interpretation Expert witness experience in civil litigation Data...SuggestedTemporary workPart timeRemote work
$50k - $65k
...operations, or a related field required.* Direct experience responding to government or regulatory requests from entities such as MFCU, UPIC, DOJ, OIG, Attorneys General, state Medicaid agencies, or MCOs strongly preferred.* Experience managing audits or information...SuggestedFull timeTemporary workFor contractorsWork at officeRemote workFlexible hours$350k
...experience, as in-house counsel, at a firm with a real DME practice, or on the government side Experience defending prepayment review, TPE, UPIC, RAC actions Familiarity with the Medicare DMEPOS Competitive Bidding Program Experience as a first legal hire or first-in-...SuggestedWork at office- ...management systems as an end user ~ Prior experience on a CMS program integrity, audit, or medical review contract (e.g., MAC, RAC, UPIC, SMRC) Key Responsibilities Perform coding-only medical reviews (no clinical judgment required) on Medicare Part A/B and...SuggestedContract workLocal areaRemote work
- ...denials. Prepare for and manage external financial and reimbursement audits and reviews, including CMS, Medicaid, TPE, RAC, and UPIC reviews. Manage Agency cost reports, tax filings, regulatory financial filings, and other required financial reporting. Supervise...SuggestedFull timeInterim role
- ...internal audit plan, including scope, frequency, and focus areas informed by regulatory risk and external audit trends (TPE, CERT, UPIC). • Review and analyze audit findings, identifying patterns and systemic issues that require corrective action or clinical education...SuggestedRemote jobFull timeTemporary workWork at officeVisa sponsorshipFlexible hours
- ...benefit, QRP) and accreditation standards (e.g., ACHC, CHAP if relevant). Manage all audits and surveys: plan for and respond to RAC/UPIC requests, state surveys, and internal reviews. Oversee OASIS and HOPE/HIS data quality: review trends, error rates, and implement...Suggested
Custom Home Health Inc
Troy, MI3 days ago - ...directors of nursing, clinical managers, clinicians, intake staff, billing staff, and other personnel. # Provide support for ADR, TPE, UPIC, payer audits, and other medical-record requests. # Support development and implementation of QAPI programs, performance...SuggestedPart timeWork at officeRemote workHome office
Proactive LTC Consulting
Indianapolis, IN6 days ago - ...Job Description Job Description This is a Hybrid Position-Cincinnati, Ohio. Upic Solutions Overview Created in 2001 as a non-profit corporation, our focus is delivering powerful technology and business solutions to other non-profit organizations. We empower...SuggestedWork at officeFlexible hours
- ...it offers hands-on CRM training and involvement in community impact projects. Responsibilities include processing donations, generating acknowledgments, and ensuring accurate financial records, fostering both career and community growth. #J-18808-Ljbffr Upic SolutionsSuggestedRemote jobInternship
$120k - $150k
...eligibility/recertification documentation standards Hands-on experience with audit preparation (CMS surveys, state surveys, ADRs, ZPIC/UPIC audits), QAPI programs, and corrective action planning Familiarity with major HH&H EHR systems (e.g., HCHB/Homecare Homebase,...SuggestedRemote jobFor contractorsFor subcontractor- ...RHIA) or Registered Health Information Technician (RHIT). • Experience supporting post-payment audit ADR workflows for RAC, MAC, or UPIC reviews. • Experience in a multi-facility health system or revenue cycle consulting environment managing denial operations across...SuggestedContract workWork at officeRemote work
- ...Job Description Job Description Location: 100% Remote | Duration: Up to 180 Days Organization: Upic Solutions - Nonprofit Technology Partner | Mission-Driven | Community Impact Eligibility: Active-duty U.S. service members within 180 days of separation, with...SuggestedInternshipRemote work
- ...provider clients. The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale. Key Responsibilities: Lead and...Local areaRemote work
- ...individual KPIs, and quality assurance results to drive continuous improvement. Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring adherence to payer policies and audit guidelines. Collaborate with the Director of Post-...Remote work
$175k - $215k
...state clinical licensure infrastructure. Payor Audits & Recoupment Defense: Lead the end-to-end payor audit lifecycle (MAC, RAC, UPIC, TPE, and commercial/MA plan audits). Defend recoupments, manage the Medicare appeals process, protect earned revenue, and track exposure...Full timeFor contractorsRemote workNsight Health
United States2 days ago- ...and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of...Full time
County of Riverside - TAP
Riverside, CA2 days ago
