**Job Title: Senior Manager**
The Senior Manager will act as the main clinical architect for claims editing and auditing processes, engaging in research to develop automated payment integrity methodologies. This role involves spearheading the development of policies across different departments and managing the comprehensive implementation of clinical strategies in diverse healthcare environments. Applicants need to possess an active Registered Nurse (RN) license along with a recognized coding certification like CPC or CCS. A minimum of five years of experience in payment integrity with an emphasis on the creation of new claim edits is essential.
