Operations - Spec, Quality Assurance III Spec, Quality Assurance III

Internal Expert For Value-Based Reimbursement And Medical Policy

Acts as an internal expert to ensure that value-based reimbursement and medical policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, com...