Provider Reimbursement Admin Sr- Behavior Health- Coding
Core
Translating coding, business, and billing rules into effective reimbursement policies to ensure accurate adjudication of claims for behavioral health services.
Role type
Senior Provider Reimbursement Administrator (Behavioral Health Coding)
Builds
Enterprise reimbursement policies and edits for state-specific provider activities
Domain
Healthcare / Behavioral Health / Insurance Reimbursement
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Behavioral health standards knowledge, billing conventions, coding conventions, Federal and state mandate compliance, policy development, project leadership, mentoring
Preferred skills
CPC certification, Behavioral health background
Technologies
None stated
Responsibilities
Develop enterprise reimbursement policies and edits, lead provider reimbursement activities for specific states, lead reimbursement initiatives, mentor less experienced administrators
Seniority
Senior, hands-on IC with mentorship responsibilities