Philadelphia, PA
Overview We are seeking a detail-oriented and experienced Payment Integrity Nurse to join our Claim Payment Policy team. This critical role leverages clinical and coding expertise to support the development and implementation of reimbursement and medical payment policies. The ideal candidate is a licensed nurse with strong coding knowledge who thrives on driving cost-effective utilization, maintaining policy compliance, and ensuring payment accuracy across the healthcare landscape. Key Responsibilities...Leadership Case Management ALLIED HEALTH Technologists: Medical, Laboratory, Cardiac, RadTech, X-Ray Therapy: Physical, Occupational and Speech Therapy Social Work: LCSW/LMSW, Case Management, Care Coordination Med Support: Medical Assistants,...
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