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Provider Dispute Coder
Provider Dispute Coder 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? About Us: InterSources Inc, a Certified Diverse Supplier, was founded in 2007 and offers innovative solutions to help clients with Digital Transformations across various domains and industries. Our history spans over 16 years and today we are an Award-Winning Global Software Consultancy solving complex problems with technology. We recognize that our employees and our clients are our strengths as the diverse talents and opportunities they bring to the table enable us to grow as a global platform and they are causally linked with our success. We provide strategic and technical advice, and we have expertise in areas covering Artificial Intelligence Cloud Migration Custom Software Development Data Analytics Infrastructure & Cloud Solutions Cyber Security Services We make reasonable accommodations for clients and employees and we do not discriminate based on any protected attribute including race, religion, color, national origin, gender sexual orientation, gender identity, age, or marital status. We also are a Google Cloud partner company. We align strategy with execution and provide secure service solutions by developing and using the latest technologies that thrive our resources to deliver industry-leading capabilities to our clients and customers, making it convenient for our clients to do business with InterSources Inc. Our teams also drive growth by refining technology-driven client experiences that put the users first, providing an unparalleled experience. This results in strengthening the core technologies of clients, enabling them to scale with flexibility, create seamless digital experiences and build lifelong relationships. Experience: 3 years required