Healthcare business analyst [h1.location_city]
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A company is looking for a Healthcare Payment Accuracy Specialist.
Key Responsibilities
Review and interpret healthcare policies for coding and billing guidelines
Collaborate with the concept creation team to ensure accuracy in billing edits
Conduct data validation and maintain current industry knowledge of claim edit references
Required Qualifications
8+ years of professional experience in healthcare with knowledge of medical coding terminology
Experience working for a payer or editing vendor
Intermediate proficiency in Excel, including data manipulation and pivot tables
Solid understanding of claims workflow and interconnection with claim forms (CMS 1500 & UB-04)
Experience reading and analyzing Medicare / Medicaid policies and applying coding guidelines