A company is looking for an Associate, Payment Integrity.
Key Responsibilities
Provide subject matter expertise on claims processing edits and reimbursement policies
Identify and remediate claims payment issues through data analysis and process monitoring
Document coding rules and recommend changes to reimbursement policy language
Required Qualifications
Bachelor's degree or 4+ years of relevant experience
4+ years of experience in claims processing, coding, or health care claims operations
4+ years of experience in medical coding
3+ years of experience working with large data sets using Excel or a database language
Medical coding certification through AAPC or AHIMA
Medical Coding • Fort Worth, Texas, United States