Payment Integrity Associate Director - Home Community RN - MN
Job Summary
A company is looking for a Payment Integrity Ideation Associate Director - Home & Community RN - Remote.
Key Responsibilities:
- Analyze data containing health claims to understand drivers of spend and trends for UHC Home and Community
- Leverage data to identify errors or issues, and propose solutions to address them
- Establish relationships with internal stakeholders to define and deliver payment integrity initiatives
Required Qualifications:
- Registered Nurse (RN) with an active license in the US
- 4+ years of experience in auditing, billing, and/or coding claims within a Payment Integrity domain
- 2+ years of experience working as an RN in a Home Health role/setting
- Experience with health care analytics and translating complex results into meaningful insights
- Maintains knowledge of CMS rules, regulations, and billing codes related to Home and Community
COMPLETE JOB DESCRIPTION
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