Provider Dispute Coder

• Posted 13 days ago • Updated 15 minutes ago
Contract W2
Contract Corp To Corp
Contract Independent
6 Months
Fitment

Dice Job Match Score™

👾 Reticulating splines...

Job Details

Skills

  • JD
  • Clarity
  • Screening
  • QNXT
  • Conflict Resolution
  • Medicare
  • Project Portfolio Management
  • Policy Administration
  • Billing
  • Oracle UCM
  • OM
  • WebKit
  • SANS
  • IMG

Summary

Provider Dispute Coder
Location: Remote
JD:

We have an opening with a Medicare Advantage health plan focused on payment integrity - specifically clearing a high-volume provider dispute backlog using Cotiviti's Clarity platform and QNXT. This is a 4-month engagement, strong potential to extend, 100% remote.

We need candidates with a CPC certification and health plan payment integrity experience.

Candidate Screening Questions:
Have you worked with Cotiviti or CES as a payment integrity platform?
Do you have experience in QNXT - specifically for claim adjustments?
Have you worked on provider dispute resolution under a Medicare Advantage or TriCare line of business?
Have you worked with PPM (Payment Policy Management) edits - the coding and billing side of dispute review?

Navnish kumar

Sr. IT Technical Recruiter

Stellent IT Phone:

Email: navnish
Gtalk: navnishom

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91022079
  • Position Id: 2026-49131
  • Posted 13 days ago
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