Code Edit Professional, Payment Integrity

📋 Description

• Build and maintain effective relationships with internal stakeholders and external code editing
• Support the review, testing, implementation, and ongoing maintenance of new claims code edits.
• Utilize vendor platforms, claims processing systems, and data to support payment integrity
• Manage and resolve inquiries from stakeholders related to code editing processes and functionality.
• Collaborate with business partners to identify opportunities for process improvement and ensure

🎯 Requirements

• Demonstrated experience managing relationships with clients, vendors, and/or other external
• Experience facilitating meetings and collaborating with internal and external stakeholders.
• Experience with data analysis and/or research.
• Strong analytical thinking, problem-solving, and decision-making skills.
• Ability to manage diverse priorities in a dynamic, fast-changing environment with minimal
• Strong attention to detail and ability to operate effectively in a fast-paced, agile

🎁 Benefits

• Fully remote, work-from-home position available nationwide.
• Full-time schedule of 40 hours per week, Monday through Friday.
• Base salary range of $65,000–$88,600 per year.
• Eligibility for a bonus incentive plan.
• Medical, dental, and vision coverage.
• 401(k) retirement savings plan.