Clinical Manager - Payment Integrity
Job Summary
To enhance payment accuracy and compliance, the full-time Clinical Manager - Payment Integrity will oversee the management of clinical data integrity processes and collaborate with healthcare teams in a remote environment.
Key responsibilities
- Manage clinical data integrity initiatives to ensure compliance with payment policies
- Collaborate with cross-functional teams to identify and resolve payment discrepancies
- Develop and implement strategies for continuous improvement in payment integrity processes
Required qualifications
- Bachelor's degree in a related field; Master's degree preferred
- 5+ years of experience in healthcare management or payment integrity
- Strong understanding of clinical coding and billing processes
- Experience with data analysis and reporting tools
- Certification in healthcare compliance or related field is a plus
Complete Job Description
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