Gainwell Technologies-posted about 1 year ago
$69,400 - $99,200/Yr
Full-time • Mid Level
Remote • Houston, TX
Professional, Scientific, and Technical Services
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The Coding and Bill Audit Product Specialist is responsible for the development and performance of clinical and coding products, including Itemized Bill Review, DRG Validation, and Outpatient clinical and coding solutions. This role involves providing subject matter expert (SME) support to the clinical organization and innovation team, requiring expertise in healthcare payment methodologies and audit criteria to target key claims for review and recovery. The position emphasizes content development, data analysis, claim selection methodologies, program performance monitoring, and regulatory compliance.
