Director of Reimbursement Strategy

Job Summary

A company is looking for a Director of Reimbursement Research & Coding Strategy for Mom & Baby.

Key Responsibilities

• Serve as the enterprise expert on reimbursement rules across telehealth and maternal health
• Research and interpret coverage policies and evaluate new service offerings for reimbursement viability
• Develop and maintain a centralized coding strategy and ensure compliance with billing requirements

Required Qualifications

• 8+ years of experience in medical reimbursement, payer policy analysis, or regulatory research
• Expertise in CPT/HCPCS/ICD-10 coding and payer policy interpretation
• Experience with telehealth and maternal health services
• Strong understanding of Medicare, Medicaid, and commercial coverage policies
• Experience evaluating reimbursement feasibility for new clinical or educational services