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- ...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
Upic Solutions
Cincinnati, OH19 days ago - ...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-Pay...SuggestedRemote work
- ...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...SuggestedDaily paidFull timeTemporary workWork at officeLocal areaRemote workFree visaMonday to Friday
$78k - $85k
...physicians and other health professionals as well as external regulatory agencies and law enforcement personnel Provides training to UPIC staff on medical terminology, reading medical records, and policy interpretation Provides expert witness testimony as required...SuggestedFor contractorsH2bH1bWork at officeLocal areaRemote workHome office- ...billing requirements, Pennsylvania Medicaid Case Mix methodology, and organizational policies. Prepare facilities for Medicare ADRs, UPIC reviews, Medicaid audits, and regulatory surveys. Identify reimbursement risks before they become financial liabilities. Maintain...SuggestedInterim roleImmediate startRemote work
- ...and 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 and...SuggestedFull timeInterim role
$25 per hour
...vendor, general. # Scan same day and route electronically to designated recipients. Priority mail is anything from CMS, a MAC, UPIC, RAC, SMRC, CERT or other CMS contractor, the OIG, DOJ, a state Medicaid agency, or any other government agency, and anything marked...SuggestedHourly payFull timeFor contractorsWork at officeMonday to FridayNight shift- Upic Solutions Overview Created in 2001 as a non-profit corporation, our focus is delivering powerful technology and business solutions, empowering our United Way partners to build great relationships with donors and communities, thereby maximizing community impact and...SuggestedFull time
- ...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
Ennoble Care
Hackensack, NJ26 days ago - This is a Hybrid Position-Cincinnati, Ohio. Upic Solutions OverviewCreated in 2001 as a non-profit corporation, our focus is delivering powerful technology and business solutions to other non-profit organizations. We empower our partners to harness the compassionate energy...SuggestedFull timeWork at officeFlexible hours
- ...written reporting and analytical skills ~• Ability to work independently and meet strict deadlines ~ Preferred Experience: ~• RAC, UPIC, or commercial payer audit response ~• Multi-state Medicaid policy interpretation ~• Expert witness experience in civil...SuggestedTemporary workPart timeRemote work
$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,...SuggestedFull timeRemote workShift work$350k
...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-function...SuggestedWork at officeVerse-Medical
New York, NY13 hours agonew- ...you've done it in a company that was changing quickly. You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer reviews) and won them: you know how to assemble documentation, respond on time, and run a billing operation so...SuggestedFull timeFor contractorsWork at office
Baba
New York, NY3 days ago - ...external auditor would. You will lead our QA team (US and offshore) and hold every chart, claim, and process to the standard a MAC, UPIC, or state surveyor would apply. This role sits at the intersection of clinical documentation, billing/RCM, and regulatory survey readiness...Suggested
PathWell - Home Health and Hospice Care
Hartford, CT20 hours ago - ...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 manage the end...Local areaRemote work
Health Business Solutions
Tallahassee, FL2 days ago - ...guidelines to determine payment coverage. This position is remote, with occasional on-site audits in OH if needed. You will coordinate written investigative summaries, work with physicians and health professionals, and train UPIC staff on medical terminology #J-18808-Ljbffr...Remote work
CoventBridge Integrity Systems
New York, NY4 days ago - ...side — you’ve personally managed or been the primary point of contact for a company responding to a Medicare audit (DME MAC, CERT, UPIC, RAC, or similar). This means owning documentation, facility readiness, and communication with the contractor — not reviewing patient...For contractorsWork at officeMonday to Friday
Verse Medical, Inc.
New York, NY1 day ago $32.97 - $48.6 per hour
...Services Dept / MAPE DHS Central Office Division/Unit: Department of Human Services (DHS) / Office of Inspector General (OIG)-PIO POAI RAC/UPIC Unit Work Shift/Work Hours: Day Shift / 8:00 a.m. - 4:30 p.m. Days of Work: Monday - Friday Travel Required: Yes Salary Range: $32.9...Hourly payFull timeContract workTemporary workPart timeFor contractorsLive inWork at officeLocal areaRemote workMonday to FridayShift workDay shiftMinnesota Department of Human Services
Saint Paul, MN4 days ago$105k - $125k
...Assurance & CompliancePerform chart audits.Review documentation for Medicare compliance.Evaluate OASIS accuracy.Assist with ADR, TPE, UPIC, and medical record reviews.Participate in ACHC, Joint Commission, CMS, and State survey preparation.Monitor regulatory compliance...Temporary workWork at officeMonday to FridayHome Care Providers
Indianapolis, IN20 hours ago
