Job Details

A company is looking for a Senior Analyst, Payment Integrity Disputes.Key ResponsibilitiesServe as a subject matter expert for reimbursement policies and payment integrity disputesResearch and summarize industry coding rules, and translate findings into actionable business requirementsCollaborate with internal and external partners to identify and resolve adverse claim outcomesRequired Qualifications4+ years of experience in claims processing, coding, auditing, or healthcare operations3+ years of experience in medical coding with relevant certification (CPC, COC, CCS, RHIT, RHIA)Experience with reimbursement methodologies and common claims processing practices2+ years of experience deriving business insights from datasets1+ years of experience improving business workflows and collaborating with stakeholders