About this role
At our company, our mission starts with our people. Guided by our HEART values of Humility, Excellence, Accountability, Respect, and Trust, we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day. As a Payment Integrity Analyst II , you’ll help improve claims-payment accuracy, support cost-reduction initiatives, and ensure compliance with payment policies and regulations. You’ll analyze data, identify payment trends, collaborate with internal teams and vendors, and develop solutions that prevent and recover overpayments.
Qualifications
• High school diploma required
• Bachelor’s degree preferred
• Three or more years of health care data experience required
• Two or more years of experience participating in health care payer programs, including Medicare, Medicaid, or commercial plans, required
• Two or more years of claims-editing experience with health care payers or claims-editing software vendors required
• Project implementation experience required
• Certified Coding Specialist, Certified Coding Specialist Physician-Based, or Registered Health Information Administrator certification preferred