State Licensed Payment Integrity Analyst

A company is looking for a Senior Analyst, Payment Integrity to join their Payment Integrity team. Key Responsibilities Serve as a subject matter expert for reimbursement policies and claims processing edits Research industry coding rules and translate findings into actionable business requirements Collaborate with internal and external partners to identify and resolve adverse claim outcomes Required Qualifications Bachelor's degree or 4+ years of relevant experience 3+ years of experience in claims processing, coding, or health care claims operations 3+ years of experience in medical coding within payment integrity Medical coding certification through AAPC or AHIMA Experience with reimbursement methodologies and claims processing practices