State Licensed Medical Coder

Job Summary

A company is looking for an Associate, Payment Integrity.

Key Responsibilities

• Provide subject matter expertise in Payment Integrity claims processing and reimbursement policies
• Identify and remediate claims payment issues through data analysis and process monitoring
• Document coding rules, recommend policy changes, and provide training to team members

Required Qualifications

• Bachelor's degree or 4+ years of relevant experience
• 4+ years of experience in claims processing, coding, auditing, or healthcare operations
• 4+ years of medical coding experience with certification from AAPC or AHIMA
• Experience with reimbursement methodologies and claims processing practices
• 3+ years of independent project management experience