Job Summary
A healthcare company is filling a position for a Remote Payment Integrity Ideation Consultant.
Candidates will be responsible for the following:
- Supporting existing, and developing new, medical record review and administrative hold concepts
- Providing timely and meaningful client updates
- Participating in analytical, experimental, investigative, and other fact-finding work in support of concept development
Skills and Requirements Include:
- 3+ years of experience in the healthcare industry, with deep exposure to Payment Integrity
- 3+ years of experience billing, coding, and auditing claims
- Intermediate proficiency in Access, Excel, Visio, PowerPoint
- Basic level proficiency with SQL
- Working knowledge of CMS rules and regulations
- Knowledge of correct coding guidelines
