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Junior Payment Integrity Analyst

CoverSelf·Bengaluru

Pay not statedFresherFull-time

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About the role

This role focuses on developing clinical content, payment integrity rules, and code edit solutions. The Clinical Content Specialist will translate clinical guidelines and payer policies into business logic, algorithms, and rule frameworks for automated claims validation.

What you'll do

  • Develop and maintain payment integrity rules, edits, and policies
  • Translate Healthcare Payer guidelines → business rules
  • Build code edit solutions to detect incorrect payments
  • Conduct research on medical policies and reimbursement methodologies

What you need

  • Open to freshers
  • MBBS or BDS or B.Pharm or M.Pharm

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