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Medical Coding Associate
Job Summary
A company is looking for an Associate, Payment Integrity Disputes to join their Payment Integrity team.
Key Responsibilities
- Provide expertise in Payment Integrity claims processing and reimbursement policies
- Identify and remediate payment integrity dispute issues through data analysis and monitoring
- Conduct medical record reviews and respond to inquiries regarding policies and edits
Required Qualifications
- A bachelor's degree or 4+ years of relevant experience
- 4+ years of experience in claims processing, coding, auditing, or healthcare operations
- 4+ years of experience in medical coding with relevant certification (AAPC or AHIMA)
- Experience with reimbursement methodologies and claims processing practices
- 3+ years of experience working with large data sets using Excel or a database language
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COMPLETE JOB DESCRIPTION
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