Develop, maintain, test, and optimize payment integrity audit concepts for durable medical equipment, home health, and home infusion claims, ensuring alignment with coding standards, payer policies, and regulatory requirements. Support audit operations through policy guidance, training, analytics, client collaboration, quality assurance, and workflow improvements. Requires a bachelor’s degree or equivalent experience, at least five years of relevant post-acute services experience (or three years in post-acute claims or recovery auditing), and a nationally recognized nursing or coding credential. Candidates should have deep knowledge of post-acute coding, Medicare and Medicaid payment policies, audit concept development, data analysis, and strong communication and workflow management skills.
Audit Policy Analyst, Post-Acute Services
67749
Full Time
Onsite
supports..pdf, .doc, .docx, or .txt file


