State Licensed Payment Integrity Analyst

A company is looking for a Senior Analyst, Payment Integrity.

Key Responsibilities

Serve as a subject matter expert for reimbursement policies and claims processing edits

Research industry coding rules and provide input into reimbursement policy language

Collaborate with internal and external partners to identify and implement payment integrity opportunities

Required Qualifications

Bachelor's degree or 4+ years of relevant experience

3+ years of experience in claims processing, coding, or health care claims operations

3+ years of medical coding experience within payment integrity

Medical coding certification through AAPC or AHIMA

Experience with reimbursement methodologies and common claims processing practices