Certified Medical Coding Analyst

Job Summary

Supporting payment integrity disputes and issue resolution, the remote Senior Analyst, Payment Integrity Disputes will leverage expertise in claims processing to investigate and implement solutions while collaborating with cross-functional teams.

Key responsibilities:

• Act as a subject matter expert for reimbursement policies and payment integrity disputes
• Research industry coding rules and provide input into reimbursement policy language
• Collaborate with internal and external partners to identify and prioritize adverse claim outcomes

Required qualifications:

• 4+ years of experience in claims processing, coding, auditing, or healthcare operations
• 3+ years of experience in medical coding
• Medical coding certification through AAPC or AHIMA
• Experience with reimbursement methodologies and claims processing practices
• 1+ years of experience improving business workflows and processes