Process Coach - Revenue / Payment Integrity

Job description

**Omega is Hiring: Payment Integrity Process Coach** **Experience:** 4+ Years **Shift:** Night Shift **Work Mode:** Work From Office (WFO) **Certification:** Any Healthcare Coding Certification **Job Summary:** We are looking for an experienced **Payment Integrity Process Coach** with strong expertise in US Healthcare Payer operations. The ideal candidate should possess excellent domain knowledge, coaching skills, and the ability to mentor teams while ensuring quality and process compliance. **Key Responsibilities:** - Train and coach associates on Payment Integrity workflows and client guidelines. - Conduct refresher sessions based on quality findings and process gaps. - Mentor team members on Payment Integrity concepts and best practices. - Review quality trends and support continuous process improvement. - Ensure adherence to payer guidelines, audit standards, and compliance requirements. - Support onboarding and transition training for new hires. **Preferred Domain Skills:** - Payment Integrity - Revenue Integrity - Denial Prevention - Front-End Edit Analysis - Cerner RevCycle - Post-Payment Audit - FWA Claims Validation (Fraud, Waste & Abuse) - Claims Validation - Claims Review - Medical Coding - Healthcare Claims - Payer Operations **Eligibility:** - 4+ years of relevant Payment Integrity/Revenue Integrity experience. - Excellent communication and presentation skills. - Experience in training, coaching, mentoring, or floor support is preferred. - Any Healthcare Coding Certification is acceptable. **Interested candidates can share their updated resume to the below mentioned details** **WhatsApp: 7305954636** **HR Dharini** **Omega Healthcare**