支付完整性专家 - 住院/门诊
Payment Integrity Subject Matter Expert - Inpatient/Outpatient
我们正在寻找有经验的住院和门诊支付完整性的主题专家（SME），以支持识别过度支付机会、开发新的审计概念、优化现有概念以及改进支付完整性分析。该职位需要深入了解住院和门诊环境中医疗理赔、编码、报销、审计结果和计费模式。
SME将与分析、临床、编码、运营和技术团队紧密合作，将医疗计费专业知识和理赔层面的洞察转化为可扩展的高性能审计概念、业务规则和自动化选择策略。
这是一份兼职临时职位，每周最多需要20小时。工作时间可能根据项目需求、审计概念开发优先级以及与分析和运营团队的协作要求而有所不同。项目预计持续4-6个月。
*基础薪资范围：75.00 - 100.00美元/小时
有关福利和我们提供的其他信息，请访问我们的网站
最初发布于喜马拉雅山
查看英文原文
We are seeking experienced Inpatient and Outpatient Payment Integrity Subject Matter Experts (SMEs) to support the identification of overpayment opportunities, development of new audit concepts, enhancement of existing concepts, and improvement of payment integrity analytics. This role requires deep knowledge of healthcare claims, coding, reimbursement, audit outcomes, and billing patterns across inpatient and outpatient settings.
The SME will collaborate closely with analytics, clinical, coding, operations, and technology teams to translate healthcare billing expertise and claim-level insights into scalable, high-performing audit concepts, business rules, and automated selection strategies.
This is a part-time, temporary position requiring up to 20 hours per week. Work hours may vary based on project needs, audit concept development priorities, and collaboration requirements with analytics and operational teams. Project is expected to last 4-6 months.
*Base Pay Range: $75.00 - $100.00/hr
For more information on benefits and what we offer please visit us at
Originally posted on Himalayas