Job Summary
A company is looking for a Payment Policy Associate to join their Payment Integrity team.
Key Responsibilities
- Manage and execute payment policy activities, including organizing and resolving payment policy issues
- Analyze data to identify claims payment issues and define remediation steps
- Document coding rules and draft recommendations on reimbursement policy language
Required Qualifications
- A bachelor's degree or 4+ years of relevant experience
- 4+ years of experience in claims processing, coding, auditing, or healthcare operations
- 4+ years of experience in medical coding
- Medical coding certification through AAPC or AHIMA
- Experience with reimbursement methodologies and claims processing practices
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