Payment Integrity Analyst
RIT Solutions
Payment Integrity Analyst
Location: Remote. Work EST
Top Skills Required:
- Reimbursement Policies
- CMS Medicare & Medicaid guidelines
- Industry trends on the policies and coding guidelines
- Medical Coding - coding audits, DRG audits, COB audits, itemized bill reviews
- Analyzing medical claim trends
- Analyzing post-payment audit outcomes
- Analyzing provider reimbursement policy trends
- Identify payment integrity risk and improvement opportunities
The Payment Integrity Analyst – Post Payment Audits, Claims Analytics & Reimbursement Policy Strategy is responsible for independently analyzing medical claims trends, post payment audit outcomes, and industry-wide provider reimbursement policy trends to identify payment integrity risks and improvement opportunities. This role combines hands-on claims analytics with external market intelligence, requiring the ability to evaluate evolving reimbursement practices across the industry and recommend applicable policies that improve payment accuracy, compliance, and financial integrity.
Vacancy posted 4 days ago
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