CPC Certified Policy Research Consultant

A company is looking for a Senior Payment Policy Research Consultant - Remote. Key Responsibilities Research and identify medical cost savings initiatives across various healthcare lines Conduct claims data analysis to assess new reimbursement policy opportunities Collaborate with teams to evaluate and implement reimbursement policy concepts Required Qualifications CPC certification or industry equivalent 5+ years of experience in billing, coding, and/or auditing healthcare claims 5+ years of experience researching Medicaid and state regulatory guidelines 5+ years of experience with payment integrity industry guidelines Experience in reimbursement policy development

Mar 18, 2025 - 17:51

A company is looking for a Senior Payment Policy Research Consultant - Remote. Key Responsibilities Research and identify medical cost savings initiatives across various healthcare lines Conduct claims data analysis to assess new reimbursement policy opportunities Collaborate with teams to evaluate and implement reimbursement policy concepts Required Qualifications CPC certification or industry equivalent 5+ years of experience in billing, coding, and/or auditing healthcare claims 5+ years of experience researching Medicaid and state regulatory guidelines 5+ years of experience with payment integrity industry guidelines Experience in reimbursement policy development