MogiMedReview
Data Mining Ideation Specialist
RemoteFull-time
$90,000 to $110,000 a year
About the job
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As a leader in payment integrity solutions, we provide DRG Validation, Cost Outlier, Readmission Review, and Payment Integrity services to healthcare clients nationwide. Under the direction of Payment Integrity leadership, the Data Mining Ideation Specialist is responsible for identifying and developing data mining audit concepts that promote payment accuracy across Medicaid, Medicare, and Commercial lines of business. This role leverages expertise in medical coding requirements, claims adjudication processes, reimbursement methodologies, and healthcare regulations to...