Payment Integrity Data Mining Ideation SME

United States - Remote R

USD 80K-100K Mid-level Full Time

@ M...

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Found 22d ago

Tasks

Analyze yield and appeal statistics
Collaborate with audit analytics and operations teams
Define data selection requirements
Develop data mining audits for payment accuracy
Develop logic specifications for new concepts
Identify improper payments
Maintain medical coding guideline expertise
Monitor audit performance and assess logic revisions
Provide training for audit staff
Support client approvals and ad hoc requests
Translate regulatory standards into audit logic
Validate audit output accuracy

Perks/Benefits

Skills/Tech-stack

Education

N/A

Roles

Regions

North America

Countries

United States

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