Medical Coding Associate

Job Summary

A company is looking for a Payment Integrity Coding Associate to join their Payment Integrity team.

Key Responsibilities

• Provide subject matter expertise on internal claims processing edits and reimbursement policies
• Identify and remediate payment integrity dispute issues through data analysis and process monitoring
• Conduct medical record reviews and respond to inquiries regarding policies and edits

Required Qualifications

• 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