Kentucky Licensed Payment Accuracy Consultant

A company is looking for a Payment Accuracy Concept Consultant. Key Responsibilities: Identify errors and overpayments in claims paid data Generate new ideas for claim rules and edits in a pre-payment setting Prepare and deliver clinical support related to clinical content to internal and external customers Required Qualifications: Certified Professional Coders (CPC) certification or Certified Coding Specialist-Physician (CCS-P) certification required prior to hire date 5+ years of relevant healthcare experience in roles such as medical coder, claims adjuster, or payment analyst Bachelor's degree in Healthcare Information System Management, Health Information Management, or a related field desired 5+ years of experience in third-party claims processing or Medicare/Commercial insurance billing required Ability to travel up to 10%

Mar 20, 2025 - 21:32

A company is looking for a Payment Accuracy Concept Consultant. Key Responsibilities: Identify errors and overpayments in claims paid data Generate new ideas for claim rules and edits in a pre-payment setting Prepare and deliver clinical support related to clinical content to internal and external customers Required Qualifications: Certified Professional Coders (CPC) certification or Certified Coding Specialist-Physician (CCS-P) certification required prior to hire date 5+ years of relevant healthcare experience in roles such as medical coder, claims adjuster, or payment analyst Bachelor's degree in Healthcare Information System Management, Health Information Management, or a related field desired 5+ years of experience in third-party claims processing or Medicare/Commercial insurance billing required Ability to travel up to 10%