Remote Concept Ideation Analyst or Payment Integrity Analyst

Job Summary

A healthcare provider has an open position for a Remote Concept Ideation Analyst or Payment Integrity Analyst.

Individual must be able to fulfill the following responsibilities:

• Provide guidance and assistance to the Validation Auditors
• Compile sample claims

Must meet the following requirements for consideration:

• 2 plus years of experience working in a payer/provider claims system
• Requires 5 plus years of experience in health insurance contract interpretation and claim reimbursement auditing
• Requires in-depth knowledge of claim coding, including CPT, HCPCS, ICD-9/ICD-10 codes, and modifiers