Senior Analyst, Payment Integrity

Job Summary

A company is looking for a Senior Analyst, Payment Integrity.

Key Responsibilities

• Serve as a subject matter expert for reimbursement policies and payment integrity processes
• Research coding rules and provide input into reimbursement policy language
• Collaborate with internal and external partners to identify and implement payment integrity opportunities

Required Qualifications

• Bachelor's degree or 3+ years of relevant experience
• 3+ years of experience in claims processing, coding, auditing, or healthcare operations
• Experience using SQL and working with large datasets
• Knowledge of reimbursement methodologies and claims processing practices
• 2+ years of experience improving business workflows and processes