Professional, Overpayment Recovery and Monitoring Analyst
$69k/y-$92k/y
MVP Health Carea month ago
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RemoteFull-timeMid
Summary
MVP Health Care is seeking a Professional, Overpayment Recovery and Monitoring Analyst to join their team virtually in New York State. The role involves managing audit inventories, identifying new audit opportunities, and ensuring compliance with healthcare reimbursement methodologies.
About the Role
As a Professional, Overpayment Recovery and Monitoring Analyst, you will be responsible for managing recurring audit inventories, analyzing new opportunities for audits, reporting suspected fraud, and participating in training and development activities. You will also collect and validate Key Performance Indicators and support process improvement efforts within the organization.
About You
Required:
- Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field.
- Coding certification, such as AAPC CPC, CIC, COC, CCS is required.
- A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience.
- Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies.
- Intermediate knowledge of Health Insurance and various plan types.
- Intermediate analytical, problem-solving skills and attention to details.
Preferred:
- Ability to initiate education with providers and make internal recommendations for process improvements.
- Curiosity to foster innovation and pave the way for growth.
- Humility to collaborate as a team.
- Commitment to being the difference for customers in every interaction.
Benefits
- Growth opportunities to advance your career.
- A people-centric culture embracing diverse perspectives.
- Competitive compensation and comprehensive benefits focused on well-being.
- Recognition as a Best Place to Work For in the NY Capital District.
MVP Health Care
MVP Health Care is a nationally-recognized, regional not-for-profit health plan committed to having a positive impact on health and wellness of everyone we serve. With MVP, you are assured of quality health care and peace of mind—from a name you know and trust. We care for more than 700,000 members across New York and Vermont, creating healthier communities and continuing our 30-year legacy of quality and integrity. For more information, visit mvphealthcare.com.
United States