Virtual Post Acute Care Healthcare Services Segment Specialist in Sunrise

Job ID: Available for Members

Location: Florida

Compensation: To Be Discussed

Staff Reviewed: Tue, Apr 28, 2020

This job expires in 2 days

Job Category: Healthcare, Information Technology, Medical Coding, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Employer

Career Level: Experienced

Job Summary

A financial services company is filling a position for a Virtual Post Acute Care Healthcare Services Segment Specialist in Sunrise.

Individual must be able to fulfill the following responsibilities:

  • Create and/or review audit concepts & help determine alignment/adjustment according to line of business and client policy
  • Provide leadership of PAC Coding auditing strategy as per each unique contract
  • Evaluate existing audit guidelines and make recommendations to improve finding rate, reduce dispute/appeal rate and decrease overturn rate

Qualifications Include:

  • Bachelor's degree in related field or equivalent experience
  • Demonstrated expertise (depth and breadth) of knowledge of PAC claims
  • Minimum 8+ years of progressive experience in healthcare claim type subject matter specialty specific to the position
  • Progressive health care data analysis experience including gathering and documenting requirements for projects of all sizes