A company is looking for a Payment Policy Associate to join their Payment Integrity Team.
Key Responsibilities
Manage and execute payment policy activities, including organizing, scoping, and resolving payment policy issues
Analyze data to identify claims payment issues and define remediation steps
Document coding rules and draft recommendations on reimbursement policy language
Required Qualifications
Bachelor's degree or 4+ years of relevant experience
4+ years of experience in claims processing, coding, auditing, or health care operations
4+ years of experience in medical coding
Medical coding certification through AAPC or AHIMA
Experience with reimbursement methodologies and claims processing practices
Medical Coding • Fullerton, California, United States