Payment Integrity Analyst

New

Skills

Auditing Business Insights Claims Processing Collaboration Data Analysis Healthcare Operations Medical Coding Policy Research Problem Solving Reimbursement Methodologies

We are seeking a Senior Analyst for Payment Integrity Disputes to serve as a subject matter expert in reimbursement policies and payment integrity disputes. This role involves responding to both internal and external inquiries while ensuring adherence to established policies.

Key Responsibilities
  • Act as a subject matter expert for reimbursement policies and payment integrity disputes.
  • Respond to inquiries and disputes regarding policies and edits.
  • Research and summarize coding rules; input reimbursement policy language.
  • Translate insights into business requirements and collaborate on implementing changes.
  • Ingest partner input on adverse claims and deliver effective solutions.
  • Utilize data insights to identify opportunities and enhance processes.
Required Skills & Qualifications
  • 4+ years of experience in claims processing, coding, auditing, or healthcare operations.
  • 3+ years of experience in medical coding.
  • Medical coding certification (CPC, COC from AAPC or CCS, RHIT, RHIA from AHIMA).
  • Experience with reimbursement methodologies and provider contracts.
  • 2+ years of experience deriving business insights from datasets.

No forms. Your profile is generated instantly.

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: Months

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