Senior Analyst, Payment Integrity

Added
5 days ago
Type
Full time
Salary
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Related skills

sql cpc ahima coc aapc

πŸ“‹ Description

  • Supports process improvement and issue resolution in Oscar's claim environment.
  • Cross-functional collaboration to translate friction into improvements.
  • Report to Sr. Manager, Payment Integrity.
  • Hybrid schedule with 3 in-office days per week in Tempe.
  • Responsibilities include research and input into reimbursement policy language.
  • Ensure transparency with stakeholders and compliance with laws.

🎯 Requirements

  • Bachelor's degree or 4+ years experience.
  • 3+ years in claims processing, coding, auditing, or health care claims ops.
  • 3+ years in medical coding within payment integrity.
  • Medical coding certification (AAPC CPC/COC or AHIMA CCS/RHIT/RHIA).
  • 2+ years deriving insights from datasets; 1+ years improving workflows and collaborating with stakeholders.
  • Bonus: 2+ years in technical/process-improvement roles; SQL; Lean Six Sigma.

🎁 Benefits

  • Medical, dental, and vision benefits for full-time employees.
  • Unlimited vacation program and annual performance bonuses.
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