Remote Payment Integrity & Coding Manager
CareOregon
CareOregon, Inc. is seeking a Payment Integrity Coding Manager responsible for developing and improving payment integrity and claims programs. This role involves overseeing claims monitoring, managing coding audits, and ensuring compliance with regulatory requirements. The ideal candidate should have management experience in health plan operations and be a certified coder. The position offers a hybrid work model, with partial remote work expected. Comprehensive benefits and competitive salaries are part of the employment package. #J-18808-Ljbffr
- ...Payment Integrity Coding Manager The Payment Integrity Coding Manager develops, implements, and continuously improves enterprise‑wide payment integrity and claims programs and strategies to ensure that CareOregon’s claims editing, coding compliance, provider education...Remote workWork at officeWork from homeFlexible hours
- ## Payment Integrity Coding ManagerApplyremote type: 1-2 days per week in Officelocations: Remote Oregontime type: Full timeposted on: Posted Yesterdayjob requisition id: JR100852Payment Integrity Coding Manager----------------------------------------------------------...Remote workWork at officeLocal areaWork from homeFlexible hours2 days per week1 day per week
$87.7k - $157.8k
...flexibility. An RN with coding background is highly... ...recovery, cost avoidance, and payment accuracy. You will lead... .... Position Purpose Manages a team of auditors and... ...achievement of payment integrity objectives. This role directs... ...approach to work with remote, hybrid, field or...Remote workFull timePart timeWork at officeFlexible hours- ...SCAN Group is seeking a Senior Manager Payment Integrity to lead a cross-functional system configuration team supporting various departments. This... ...This temporary position offers competitive wages and excellent benefits, with a mostly remote work option. #J-18808-Ljbffr...Remote workTemporary work
- ...Scan-Health-Plan is seeking a Senior Manager Payment Integrity to lead a cross-functional team in Long Beach, California. This role involves managing system configuration and ensuring compliance with health regulations while developing relationships with various departments...Remote work
- ...SHPCA SCAN Health Plan is seeking a Senior Manager Payment Integrity to lead a cross-functional team focused on payment integrity care. This role... ...wage along with medical benefits and a 401(k) plan, mostly remote work, and opportunities for professional development. #J-18...Remote workHourly pay
$142k - $213k
...Values in the workplace: * Integrity * Accountability *... ...Responsibilities * Build, lead and manage Payment Integrity operations,... ...review, including clinical and coding audits, fraud, waste and... ...Salary range will vary for remote positions outside of California...Remote workContract workWork from homeVisa sponsorshipWork visaFlexible hours$105k - $118k
...are currently looking for a Payment Training Manager in the United States. In... ...link between payment integrity analytics and operational excellence... ..., transforming complex coding audit insights into high-impact... .... The environment is remote, collaborative, and focused...Remote jobFull timeFlexible hours$51.06 - $73.9 per hour
...Senior Manager Payment Integrity SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That... ...Wage Range: $51.06 to $73.90 per hour Work Mode: Mostly Remote Medical Benefits Paid Sick Time Excellent 401(k) Retirement...Remote workHourly payTemporary workWork at office- ...Sales Executive responsible for driving enterprise growth of Payment Integrity solutions among large national and regional health plans and... ...solutions and building executive relationships. This position is remote within the US, emphasizing collaboration and a strong results...Remote work
- ...CareOregon, Inc. is looking for a Payment Integrity Coding Manager to develop and improve payment integrity and claims programs across the organization. The successful candidate will oversee claims monitoring, define audit strategies, and lead coding education initiatives...Remote work
- ...For roles that are 100% remote or hybrid, you must have access to a reliable... ...reimbursement. Role Overview The Payment Integrity Vendor/Client Management Manager assists the organization in... ...acumen is preferred Medical Coding certification preferred Bachelor...Remote workContract workLive inFlexible hours
- ...A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote work
- ...A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1...Remote work
- ...agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment integrity. Codoxo helps clients manage costs across network management, clinical care, provider coding and billing, payment integrity, and special investigation units. Our software-...Remote workContract workWork experience placementWork at officeLocal areaWork from homeHome office
- ...Oscar Health is hiring a Data Mining Analyst for the Payment Integrity team. This remote role involves reviewing claims data for accuracy and supporting... ...proficiency with large datasets, preferably along with coding or SQL knowledge. Full-time employees enjoy medical,...Remote workFull time
- ...Payment Integrity Analyst Location: Remote. Work EST Top Skills Required: Reimbursement Policies CMS Medicare & Medicaid guidelines Industry trends on the policies and coding guidelines Medical Coding - coding audits, DRG audits, COB audits, itemized...Remote work
- ...Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must... ...someone with a strong background in claims, medical coding, or payment integrity systems. You will… Analyze...Remote workContract work
- ...a range of solutions to help customers manage and grow their businesses. Approximately... ...Deluxe Merchant Services + is a complete payment processing solution that accepts a wide... ...company! This is critical role focused integrated payments on sourcing, signing and setting...Remote workBase plus commissionPermanent employmentFull timeTemporary workFlexible hours
- ...Revenue Integrity Manager – Professional Billing Come see why the Johns Hopkins All Children... ...ensures accurate charge capture, compliant coding practices, denial prevention, and... ...No weekends Location: Full-time Remote Salary Range: Minimum 30.64/hour - Maximum...Remote workFull timeLocal areaDay shift
- ...Business Analyst Claims Payment Integrity Remote Contract Domain & Data Expertise (Required) Familiarity... ...Provider RCM data (billing patterns, coding, prior auth, clinical documentation... ..., decision-making, and stakeholder management skills Excellent analytical and...Remote workContract work
- ...Project description The Integration Release Manager (IRM) role has historically required a hybrid skill set. While it is anchored in... ...-Applied Productivity: Leverage AI tools to enhance coding, documentation, data analysis, and decision-making workflows...Remote workContract workFor contractors
$92.7k - $139.1k
...arrangements that include remote and hybrid... ...organization, you're an integral part of our team and your... ...depth analysis of claim payments and its methodology, identifying... ...policy, national coding guidelines and... ...and recommendations to management on all findings affecting...Remote workContract workWork at officeWork from homeFlexible hoursShift work2 days per week1 day per week$60k
...Software Developer (Payment Integrations) This position is remote, but you must live in the Phoenix, Arizona Metro... ...work environment promotes self-management with flexible hours as well as full... ..., design patterns, and coding best practices Preferred Skills...Remote workFull timeTemporary workLive inLocal areaWork from homeFlexible hours- ...Payment Integrity Product Development Specialist (Skilled Nursing Facility Or Snf Sme) At MedReview... ...criteria, documentation standards and coding requirements. Define MVP scope,... ...Facility clinical operations, utilization management, payment integrity or audit programs....Remote work
- ...oversee and expand our Federal Payment Integrity business. This executive... ...Development, Client Delivery, Coding Compliance, and Data... ...Strong knowledge of: Managed Care, Medicare, and/or Medicaid... ...San Francisco Bay Area or Remote within the United States....Remote workContract workTemporary work
$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst... ...payments. As a Senior Analyst, you will manage the full lifecycle of edit development... ...subject matter expert, blending deep coding domain expertise with advanced...Remote work$83.25k - $155.51k
...level analyst support for health plan payment integrity activities. Partners with leaders and functional... ...all payment integrity (PI) solutions. Manages scorable action items (SAIs) related to... ...knowledge of managed care claims coding (Current Procedural Terminology (CPT),...Remote workTemporary workWork experience placementWork at office$69.4k - $99.2k
...Senior Data Mining & Payment Integrity Analyst Be part of a team that unleashes the power of... ...collaboration with other team members and management. Review IT programming results for... ...Guidelines such as CMS Regulations and Coding Guidelines to Healthcare Claims Data. Recovery...Remote workFull timeContract workFlexible hours$24.2 - $36.3 per hour
...care by preventing inaccurate payments and reducing overall waste in... ...for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2... ...contract terms, billing and/or coding errors to prevent and recover... ...quality/audit standards while managing a high-volume case queue....Remote workFull timeContract workVisa sponsorship
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