Medical Coding Analyst

Job Summary

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

Key Responsibilities

• Serve as a subject matter expert for reimbursement policies and payment integrity disputes
• Research and summarize industry coding rules, and translate findings into actionable business requirements
• Collaborate with internal and external partners to identify and resolve adverse claim outcomes

Required Qualifications

• 4+ years of experience in claims processing, coding, auditing, or healthcare operations
• 3+ years of experience in medical coding with relevant certification (CPC, COC, CCS, RHIT, RHIA)
• Experience with reimbursement methodologies and common claims processing practices
• 2+ years of experience deriving business insights from datasets
• 1+ years of experience improving business workflows and collaborating with stakeholders