Job Summary
A company is looking for an Associate, Payment Integrity.
Key Responsibilities
- Provide subject matter expertise on claims processing edits and reimbursement policies
- Identify and remediate claims payment issues through data analysis and process monitoring
- Document coding rules and recommend changes to reimbursement policy language
Required Qualifications
- Bachelor's degree or 4+ years of relevant experience
- 4+ years of experience in claims processing, coding, or health care claims operations
- 4+ years of experience in medical coding
- 3+ years of experience working with large data sets using Excel or a database language
- Medical coding certification through AAPC or AHIMA
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