ProKatchers LLC
Job Title: Director of Program Integrity
Location: Dallas, TX
75235 Duration: Permanent Full time
Job Description: Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience - Strongly Preferred. 2 years of experience in a Managed Care health plan or state agency - Required. Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology - Required. Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelors degree.
75235 Duration: Permanent Full time
Job Description: Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience - Strongly Preferred. 2 years of experience in a Managed Care health plan or state agency - Required. Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology - Required. Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelors degree.