Associate Claims Validation Analyst

Job Summary

A company is looking for an Associate Claims Validation Analyst.

Key Responsibilities

• Review and interpret healthcare policy for coding and billing guidelines
• Collaborate with the concept creation team to ensure accuracy of billing edits
• Validate the functionality of edits through data analysis and unit tests

Required Qualifications

• 4+ years of professional experience in Healthcare with knowledge of medical coding terminology
• Experience working for a payer or editing vendor
• Payment accuracy experience with prepayment or post-payment knowledge
• Proficient computer skills, including the ability to learn software with minimal guidance
• Ability to communicate and collaborate with various departments