Claims editing, Data quality assessments, Claims adjudication workflows, Payment integrity programs, Medical claims analysis, Reimbursement methodologies, Reimbursement controls, Coding validation, Microsoft Excel or similar analytics tools, Healthcare data analytics, Benefit interpretation, Healthcare costing initiatives, Claims audits, DRG and grouper initiatives, Reimbursement modelling, Fee schedule development

Microsoft Excel, Reimbursement methodologies, ICD-10-AM, AR-DRG, Claims adjudication workflows, ACHI, Data quality assessments, Clinical coding systems, Healthcare data analytics, Claims analytics