Medical Coding Associate
A company is looking for an Associate, Payment Integrity Disputes to join their Payment Integrity team.
Key Responsibilities
Provide expertise in Payment Integrity claims processing and reimbursement policies
Identify and remediate payment integrity dispute issues through data analysis and monitoring
Conduct medical record reviews and respond to inquiries regarding policies and edits
Required Qualifications
A bachelor's degree or 4+ years of relevant experience
4+ years of experience in claims processing, coding, auditing, or healthcare operations
4+ years of experience in medical coding with relevant certification (AAPC or AHIMA)
Experience with reimbursement methodologies and claims processing practices
3+ years of experience working with large data sets using Excel or a database language
A company is looking for an Associate, Payment Integrity Disputes to join their Payment Integrity team.
Key Responsibilities
Provide expertise in Payment Integrity claims processing and reimbursement policies
Identify and remediate payment integrity dispute issues through data analysis and monitoring
Conduct medical record reviews and respond to inquiries regarding policies and edits
Required Qualifications
A bachelor's degree or 4+ years of relevant experience
4+ years of experience in claims processing, coding, auditing, or healthcare operations
4+ years of experience in medical coding with relevant certification (AAPC or AHIMA)
Experience with reimbursement methodologies and claims processing practices
3+ years of experience working with large data sets using Excel or a database language