Medical Coding Specialist

Job Summary

A company is looking for a Senior Specialist, Payment Policy to join their Payment Integrity team.

Key Responsibilities

• Serve as a subject matter expert for reimbursement policies and payment integrity processes
• Respond to inquiries and disputes regarding policies and edits, while collaborating with internal and external partners
• Research coding rules and identify payment integrity opportunities to improve business workflows

Required Qualifications

• A bachelor's degree or 4+ years of relevant experience
• 3+ years of experience in claims processing, coding, auditing, or health care operations
• 3+ years of medical coding experience with certification from AAPC or AHIMA
• Experience with reimbursement methodologies and common claims processing practices
• 1+ years of experience collaborating with stakeholders to enhance business processes