Payment Integrity Analyst - Claims & Reimbursement
MVP Health Care
MVP Health Care is looking for a Certified Medical Coder based in the United States to ensure compliance in healthcare reimbursement processes. This role requires strong coding skills in ICD-10, CPT, and HCPCS, along with the ability to interpret and translate various policies into actionable plans. Candidates should possess a bachelor’s degree and a medical coding certification, with at least 3 years of coding experience. The role emphasizes teamwork and communication to enhance coding accuracy and improve claims processing. #J-18808-Ljbffr
$24.2 - $36.3 per hour
...preventing inaccurate payments and reducing overall waste... ...-Payment Accuracy and Integrity and is HI-TRUST and... ...The Payment Integrity Analyst (Data Mining) supports... ...and recover improper claim payments. This role performs... ...determine the correct reimbursement and document the...ReimbursementClaimsFull timeContract workVisa sponsorship$72.04k - $94.55k
...Senior Analyst, Payment Integrity Disputes Hi, we're Oscar. We're hiring a Senior Analyst, Payment... ...disputes and issue resolution in the Oscar claim environment for both the Oscar... ...as a subject matter expert for Oscar reimbursement policies, payment integrity disputes,...ReimbursementClaimsFull timeContract workWork at officeFlexible hours$28.26 - $37.1 per hour
...Hi, we're Oscar. We're hiring an Analyst, Data Mining to join our Payment Integrity team. Oscar is the first... ...Analyst is responsible for reviewing claims data to identify incorrect... ...insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI)...ReimbursementClaimsHourly payFull timeWork experience placementWork at officeFlexible hours$69.38k - $92.28k
...Payment Integrity Analyst - Data Mining & Savings Reporting page is loaded## Payment Integrity Analyst... ..., and support accurate, compliant claims payment across our health plan and report... ...integrity operations, or healthcare reimbursement analytics* 3+ years of experience...ReimbursementClaimsLocal areaRemote work- ...are seeking an experienced SAP Functional Analyst with strong expertise in SAP FI-AR/FI-AP and Healthcare Claims Integration to support a critical enterprise... ...serve as the primary SME for end-to-end payment and reimbursement processes, while also mentoring internal...ReimbursementClaims
$24.2 - $36.3 per hour
...Lyric is seeking a Payment Integrity Analyst (Data Mining) in the United States. This role focuses on investigating payment errors, validating... ...least one year of experience in healthcare, particularly in claims processing and auditing. Knowledge of medical billing codes...ClaimsHourly pay$34.84 - $52.27 per hour
...Lyric is seeking a Payment Integrity Analyst II (Data Mining) to enhance its Data Mining program. The role requires an independent investigator... ...strong analytical skills, particularly in auditing medical claims. The position offers a salary range of $34.84 to $52.27 per...ClaimsHourly payFlexible hours$69.38k - $92.28k
...MVP Health Care is seeking a skilled data analyst to support payment integrity and analyze healthcare claims data. This position is crucial for uncovering cost savings opportunities and ensuring accurate claims payments while maintaining compliance. Candidates must have...ClaimsRemote work- Oscar Health is hiring a Data Mining Analyst for their Payment Integrity team in New York City. This hybrid position requires the analyst to review claims data, identify incorrect payments, and support quality control. Candidates should have 2+ years of healthcare experience...Claims
- ...Payment Analyst (Temp) The New York City Department of Health and Mental Hygiene (DOHMH)... ...requirements. Review provider expense claims, select samples for audit review, and... ..., projections, expense reports, and reimbursement forms (state, federal, and non-governmental...ReimbursementClaimsContract workTemporary workLive inWork at office
$120k - $150k
...Title Senior Analyst - Accounting & Healthcare Reimbursement Compensation ~ $120,000... ...Oversee reconciliation of claims, payments, and final settlements-producing... ...-wide reimbursement and revenue integrity Must-Have Skills/Experience...ReimbursementClaimsLocal areaMonday to Friday- ...A healthcare intelligence company is seeking a Senior Analyst to lead the development of reimbursement and payment integrity concepts. In this role, you will analyze claims data, collaborate with technical teams, and ensure payments align with contracts. Candidates should...ReimbursementClaimsRemote work
$200k - $250k
Are you ready to make an impact? Healthcare Payment Integrity Director West Monroe has an immediate opportunity for a Director... ..., with a specialization in Payment Integrity, claims operations, reimbursement methodologies, and healthcare finance transformation....ReimbursementClaimsFull timeLocal areaImmediate startFlexible hours- ...Senior RCM Analyst Location: Fully Remote Job Type:... ...architect of revenue integrity across our surgical facilities... ...entire lifecycle of a claim—from pre-surgical... ...compliance and payment variance analysis. Your... ...documented, billed, and reimbursed. Responsibilities Front...ReimbursementClaimsPermanent employmentFull timeContract workRemote work
$83.1k - $120.36k
...Senior Analyst, Total Cost Of Care The Senior Analyst, Total Cost of Care,... ...provider network informatics, and reimbursement accuracy. The ideal candidate will... ...actionable data driven analysis to Finance, Claims, Pharmacy, Payment Integrity, Medical Management, Network, and...ReimbursementClaimsContract workTemporary workWork experience placement$50k - $60k
...Partners is a tech-enabled payment integrity company. Our mission is to... ...more. The Provider Services Analyst I’s primary responsibility... ...practices and protocols Analyze claims to determine the validity... ...to effectuate reimbursement Contacting insurance carriers...ReimbursementClaimsContract workWork at officeRemote work$70k - $80k
...Total Rewards Analyst Columbus - Hybrid, Seattle... ...type of partner into one integrated platform. As consumers... ...are accurate and payments are delivered on time.... ...service, troubleshoot claim and eligibility issues... ...also offer a monthly gym reimbursement policy to support your...ReimbursementClaimsWork at officeHome officeFlexible hours$68.04k - $118.8k
...queries needed to analyze vendor payment data. Utilize pre/post claim editing, auditing, and claim recovery... ...Management, Finance, etc.) to integrate overpayment prevention strategies.... ...Understanding of NYS, CMS and Medicaid reimbursement guidelines; a working knowledge of...ReimbursementClaimsRemote work$62.4k - $98.5k
...which consolidates all claim administration-related... ...Surveillance Senior Analyst will play a key role in... ...market data across diverse reimbursement and distribution... ...specialist will design integrated, user‑friendly reporting... ...drug channels and payment workflows (pharmacy reimbursement...ReimbursementClaimsWork at officeLocal areaRemote workFlexible hours- ...seeking an experienced SAP Functional Analyst in Georgia to implement new... ...functionality while managing complex integrations with healthcare claims systems. The ideal candidate will... ...and serve as the primary SME for payment and reimbursement workflows. This role offers...ReimbursementClaims
- ...A healthcare insurance provider is seeking a candidate to analyze medical claims, identify trends, and ensure compliance with guidelines. The role requires a Bachelor’s degree and seven years of related experience. Candidates should have strong analytical skills and experience...ClaimsRemote work
- Position Overview The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. This position... ..., and standard industry reimbursement methodologies. Strong... ...departmental procedures. Integrity and trust. Excellent interpersonal...ReimbursementClaimsContract work
- ...intelligence from 10M+ processed claims, and expert human‑in‑the‑loop integration, EnableComp provides... ...to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider... ...Summary The Data Analyst responsibilities will include...ReimbursementClaims
- ...directly to the Manager of Revenue Integrity and working closely with the CDM Analysts, the Revenue Integrity Analyst... ...process. Working charging related claim edits and Revenue Guardian checks... ...knowledge of hospital operations & payment systems. Experience working with CDM...ClaimsFull timePart timeWork at office
- Job Description - Revenue Integrity Analyst III INTEGRIS Health, Oklahoma’s largest not-for-profit... ...actions. Supports escalations of payment policy or denial issues to senior payer... ...acts as a system resource on complex reimbursement and compliance challenges. Operational...ReimbursementContract workTemporary workWork at office
- ...Configuration Analyst – Burgess Source The Burgess Source Configurator is responsible for... ...maintaining and optimizing the Burgess Source claims pricing and payment integrity platform. This role ensures accurate reimbursement logic, regulatory compliance and seamless...ReimbursementClaimsContract workWork experience placementWork at office
$211.55k - $317.33k
...Medical Director. This pivotal role involves providing strategic oversight for development and improvement of pre-payment edits to ensure robust payment integrity. Candidates must be board-certified physicians with at least 10 years of clinical experience and 3 years as a...Claims- ...system, invites applications for a Revenue Integrity Analyst III in Oklahoma City, OK. This senior... ...actions; support escalations of payment policy or denial issues to senior payer... ...; act as a system resource on complex reimbursement and compliance challenges. Lead quarterly...ReimbursementContract workTemporary workWork at office
- ...Vice President, Revenue Integrity - DRG & DRGV (REMOTE) EnableComp provides... ...from 10M+ processed claims, and expert human‑in‑the‑loop integration... ...clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations...ReimbursementClaimsWork at officeRemote work
- ...A leading healthcare firm is seeking a Payment Integrity Specialist for a fully remote role. Candidates must be based in EST or CST and comfortable... ...Responsibilities include analyzing medical records, handling claims, and utilizing systems like Facets and NASCO. Ideal...ClaimsContract workRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Payment Integrity Analyst - Claims & Reimbursement. Be the first to apply!
- document review analyst New York, NY
- facility analyst New York, NY
- aml kyc analyst New York, NY
- catastrophe modeling analyst New York, NY
- senior strategy analyst New York, NY
- disaster recovery analyst New York, NY
- consulting analyst New York, NY
- contracts analyst New York, NY
- compensation analyst New York, NY
- due diligence analyst New York, NY

