Payment Integrity Professional

Candidates must be a Certified Professional Coder with either AHIMA or AAPC certification and possess a minimum of 2 years of experience utilizing coding guidelines, submitting, reading, and/or interpreting claims. Distinguished knowledge of American Medical Association Current Procedural Terminology (CPT®), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD) code sets is required, along with exceptional understanding of Centers for Medicare & Medicaid Services (CMS) guidelines, state Medicaid guidelines, correct-coding initiatives, national benchmarks, and industry standards. A working knowledge of Microsoft Office Programs (Word, PowerPoint, and Excel) is necessary, as is proficiency in managing diverse priorities, analytical thinking, strong attention to detail, and the ability to work independently in a fast-paced, agile, metric-driven operational setting. Excellent communication skills, both written and verbal, are also essential.