Payment Integrity Analyst II

A company is looking for a Payment Integrity Analyst II - Data Mining. Key ResponsibilitiesInvestigate and validate payment errors, ensuring compliance with payment policies and contract terms Collaborate with the team to analyze claims and maintain documentation for audits and inquiries Identify process improvements and contribute to operational excellence within the Data Mining programRequired QualificationsMinimum of five (5) years of experience in healthcare, including claims processing or payment integrity Minimum of three (3) years auditing medical claims or performing payment integrity casework Minimum of three (3) years performing data analysis with large datasets Working knowledge of medical billing codes and understanding of reimbursement methodologies Bachelor's degree in business or healthcare-related field preferred