Payment Integrity Associate

Job Summary

A company is looking for an Associate, Payment Integrity.

Key Responsibilities

• Provide expertise in internal claims processing edits and reimbursement policies, focusing on Anesthesia billing and coding
• Identify claims payment issues and recommend remediation steps based on data analysis
• Document coding rules and collaborate with internal partners to implement changes and improve payment integrity processes

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 a focus on Anesthesia coding guidelines
• Medical coding certification through AAPC or AHIMA
• Experience with reimbursement methodologies and claims processing practices