Remote Payment Accuracy & AI Audit Lead

Team8 Inc; United States; On-site; USD 80,000 - 120,000; Full time

Job summary

A health-IT startup is seeking a Payment Accuracy and Concept Lead to identify medical billing errors and fraudulent claims. The ideal candidate will leverage the company's platform to create and refine audit concepts in collaboration with Medical Coders and Engineering teams. This position requires extensive knowledge of medical terminology and experience in the healthcare sector. A Registered Nurse is preferred, along with a Bachelor's or Graduate degree. Competitive compensation and remote work options are offered.

Qualifications

• Extensive knowledge of medical records and health information management.
• Previous auditing or consulting experience is preferred.
• Knowledge of claims adjudication processes and provider billing systems.

Responsibilities

• Develops and refinements of new audit concepts in healthcare.
• Collaborates with Medical Coders and Engineering teams.
• Leads in-depth research of new ideas and concepts.

Skills

Extensive knowledge of medical terminology

Experience in medical coding

Strong research skills

Education

Registered Nurse

Bachelor's or Graduate degree

Job description

A health-IT startup is seeking a Payment Accuracy and Concept Lead to identify medical billing errors and fraudulent claims. The ideal candidate will leverage the company's platform to create and refine audit concepts in collaboration with Medical Coders and Engineering teams. This position requires extensive knowledge of medical terminology and experience in the healthcare sector. A Registered Nurse is preferred, along with a Bachelor's or Graduate degree. Competitive compensation and remote work options are offered.