Remote Payment Integrity Concept Architect

Devoted Health; United States; On-site; USD 73,000 - 120,000; Full time

Benefits offered by this job

Employer sponsored health, dental and vision plan

Generous paid time off

$100 monthly mobile or internet stipend

Stock options for all employees

401K program

Parental leave program

Job summary

Devoted Health is seeking a Payment Integrity Program Development Manager to implement innovative concepts in coding and billing regulations. This role requires a strong background in healthcare revenue cycles and coding expertise to ensure accuracy in payments.

You will manage the development of edit and audit processes, analyzing data to support policy creation while collaborating with cross-functional teams. The position offers a salary ranging from $73,000 to $120,000 annually, along with a comprehensive rewards package.

Qualifications

• Minimum of 4 years of relevant professional experience in healthcare revenue cycle.
• Proven subject matter expertise in interpreting CMS policies.
• Demonstrated experience in concept development logic.

Responsibilities

• Manage the full lifecycle of edit and audit development.
• Run data queries to validate coding and billing hypotheses.
• Design payment policies to support defensibility.

Skills

Coding and billing regulations expertise

Analytical skills

Data querying

Problem-solving abilities

Education

Bachelor's degree

Active Certified Professional Coder (CPC)

Job description

Devoted Health is seeking a Payment Integrity Program Development Manager to implement innovative concepts in coding and billing regulations. This role requires a strong background in healthcare revenue cycles and coding expertise to ensure accuracy in payments.

You will manage the development of edit and audit processes, analyzing data to support policy creation while collaborating with cross-functional teams. The position offers a salary ranging from $73,000 to $120,000 annually, along with a comprehensive rewards package.