• VirtualVocations
  • Telecommuting/Work-At-Home
  • Full-Time

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A healthcare company is searching for a person to fill their position for a Telecommute Payment Integrity Concept Researcher.
Must be able to:
Research and develop potential claim overpayment hypotheses
Use data mining tools (i.e. SQL, Access, Excel)
Run initial PL SQL queries to ensure hypothesis is worth developing further
Qualifications Include:
2+ years of experience in healthcare (billing, coding, auditing claims)
2+ years of medical claims
2+ years of data analysis experience
2+ years of experience with claims processing or adjudication systems
Maintaining working knowledge of coding standards, billing rules and regulations
Knowledge of health plan and payment methodology

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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