Payment Accuracy Concept Consultant - Remote

Overview

The Payment Accuracy Concept Consultant at Lyric plays a crucial role in identifying overpayment areas in the healthcare billing process, leveraging technology and industry knowledge to enhance accuracy and efficiency for clients.

In Short

• Identify overpayment areas using industry sources and claims data.
• Generate ideas for claim rules and edits.
• Communicate effectively to promote savings opportunities.
• Stay updated on coding and billing trends.
• Conduct opportunity evaluation and data mining.
• Implement and monitor new opportunities.
• Provide clinical support to internal and external customers.
• Work on cross-functional teams for software applications.
• Serve as Clinical Content SME as needed.
• Maintain attention to detail in all tasks.

Requirements

• AAPC CPC certification or AHIMA CCS-P certification required.
• 5+ years of healthcare experience in coding, claims processing, or auditing.
• Bachelor's degree in a healthcare-related field desired.
• Experience in third-party claims processing and Medicare billing required.
• Ability to travel up to 10%.
• Preferred experience in healthcare IT and clinical editing.
• Medical background (Registered Nurse) is a plus.
• Familiarity with claims processing systems like NASCO and Facets QNXT.

Benefits

• Competitive salary range.
• Inclusive work environment.
• Opportunities for professional growth.
• Collaborative success culture.
• AI-first platform with innovative solutions.