Payment Integrity Specialist -- W2
nTech Workforce
Senior Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must be comfortable working EST-hours Terms of Employment This position is 100% remote. Candidates must be based in EST or CST and must be comfortable working EST-hours. Candidates based in Washington, DC, Maryland, or Virginia are preferred, but not required. Overview & Responsibilities Work with a leading healthcare payer within their Payment Integrity division. Unlike traditional enrollment roles, this position focuses on the analytical side of healthcare finance. You will be responsible for reviewing medical correspondences, analyzing itemized bills, and determining if additional documentation provided by healthcare providers warrants a change in claim payment. This is a non-phone, research-heavy role perfect for someone with a strong background in claims, medical coding, or payment integrity systems. You will… Analyze medical record documentation and correspondences to understand routing requirements. Utilize systems such as Facets, NASCO, and Conduit (SIR) to look up member information and claim details. Update and maintain detailed spreadsheets in Excel with notes regarding received documentation. Review ICD-10 and CPT codes to identify denial reasons and coordinate with vendors for final claim review. Route itemized bills and medical records to the appropriate internal parties for payment integrity review. Required Qualifications High School Diploma or GED and 3+ years of experience in healthcare claims, medical billing, or member services. Strong proficiency in Microsoft Excel. Experience with the Facets. Prior experience analyzing medical records and possess an understanding of basic ICD-10 and CPT coding. Exceptional attention to detail for data entry and record-keeping. Preferred Qualifications Previous experience in a Payment Integrity or Appeals unit. Familiarity with NASCO or Conduit (SIR) systems. Seniority level Mid-Senior level Employment type Contract Job function Health Care Provider Industries: Hospitals and Health Care, Public Health, and Health and Human Services #J-18808-Ljbffr nTech Workforce
- PacificSource is seeking a Senior Fraud, Waste and Abuse Specialist to lead and advance our Payment Integrity and FWA programs. You will serve as the organization’s subject matter expert, developing policies and coordinating with CMS and other oversight agencies. This...Suggested
- Alaffia Health is seeking a Payment Integrity Operations Associate to own end-to-end audit lifecycle, manage provider communications, and collaborate with clinical reviewers, audit managers, and product teams. You will drive timely, compliant, high-quality audit outputs...Suggested
- 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 with EST hours. Responsibilities include analyzing medical records, handling claims, and utilizing systems like Facets and...SuggestedRemote jobContract work
- MedReview Inc. is seeking an Outpatient Payment Integrity Production Coder to perform claim-level outpatient coding reviews, ensuring accuracy, defensible audit findings, and client savings. You will apply CPT/HCPCS, ICD-10-CM, NCCI, and CMS guidance to identify overpayments...Suggested
$91.91k - $120.63k
Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create...SuggestedFull timeContract workWork at officeFlexible hours- Job ID: 29182714Reference Number: 26-00877Title: Senior Quality Analyst (Kafka Pipeline, AWS setup, Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-28Contact: Vishika ChaudharyContact Email: ****@*****.*** Phone: (***) ***-****Company...Contract workRemote work
$91.91k - $120.63k
Oscar Health is hiring an Associate, Itemized Bill Review (IBR) to join our Payment Integrity team in New York City. The role requires billing and coding expertise to execute internal payment integrity solutions and drive improvements across processes. You will audit high...Work at office- EmblemHealth is seeking a candidate for a position that involves analyzing contracts in Enterprise Payment Integrity. This role requires managing vendor relationships and ensuring effective contract management across the organization. The ideal applicant will have a Bachelor...Contract work
$125k - $250k
...liquidity movements, foreign exchange and payments enabling international treasury... ...team of diverse Treasury and Payments specialists helping our clients solution and build... ...expertise in global payment rails, ERP/TMS integrations, and working capital optimization to convert...Full timeTemporary workPart time$27.5 - $33 per hour
...Assistance Program. Job Summary We are seeking a certified Revenue Integrity Coding Specialist to join our Shared Services team, supporting Revenue Cycle... ...Coding Specialist will support revenue cycle with post-payment audits, pre-payment reviews, and claim-line rebuttals to...Hourly payFull timeTemporary workRemote work$55k - $60k
...Description Under the direction of the Sr. Manager, Revenue Integrity and/or Sr. Manager, Revenue Optimization, the Revenue Integrity Specialist is responsible for complete, accurate and timely processing of reimbursement/payment audits in compliance with Privia policies, payer...Contract workWork at officeLocal areaRemote workWork from homeHome office- Molina Healthcare in the United States seeks a leader to manage a payment integrity team, ensuring accuracy, performance, and prevention of cost leakage. This role oversees staff, processes, and collaboration with Shared Services to optimize operations. You will monitor...
- Bybit is seeking a Regional Business Development Specialist to drive the payments ecosystem globally, focusing on merchant growth, PSP integrations, and strategic partnerships across MENA and emerging corridors. The role requires deep payments/fintech experience, strong...Remote work
- Ventra Health is seeking a Revenue Integrity AR Specialist to analyze payer payment variances across Radiology, Anesthesia, and Emergency/Hospital Medicine. You will identify false positives, remove variances, and resolve underpayments adhering to each client’s payer contracts...
$84.2k - $134.6k
...Europe, and the Middle East, is seeking to hire a Partner Integration Specialist. Reporting to the Manager of Partner Integration, the Partner... ...to modify base salary (as well as any other discretionary payment or compensation or benefit program) at any time, including...Hourly payWork at officeLocal areaRemote workWeekend work- ...Cuboid IT Solutions and currently, I am looking for a EDI Integration Specialist (Not Developer) for our client . Please see the job... ...knowledge of healthcare processes including claims, eligibility, payments, and prior authorizations. ~ Solid understanding of XML...Contract workRemote work
- South Brooklyn Health, a long-standing NYC hospital, seeks a cashier with accuracy and integrity to support patient and financial operations. Under supervision, you will handle payments, receipts, and daily cash tasks. Typical responsibilities include accepting cash and...
- Celcius Cooling is seeking a detail‑oriented accounting professional to verify vendor invoices, process payments, and manage expense allocations in a high‑integrity finance role. You will enter card receipts, prepare monthly statements, and support budget variance analysis...
$90k - $115k
...you to thrive - to feel safe, supported, valued, and growing to your highest potential!Why this job’s a big deal:The Workday Integration Specialist is responsible for supporting Priceline’s Workday tenant for our global employee population. This position ensures we...Full timeWork experience placementSummer workWork at officeRemote workFlexible hours- Strivant Health is seeking a Payment Posting Specialist for remote-eligible employment in the United States. You will apply payments, balance deposits, and reconcile postings to physician accounts receivable, while auditing and correcting any discrepancies. The role requires...Remote job
- LumiMeds is seeking a Payment Operations Specialist to own payment-related workflows, manage billing exceptions, resolve disputes, and help optimize revenue operations. This remote-first, globally distributed team values clarity, accountability, and initiative. In this...Remote job
$100k - $138k
About the TeamThe New Verticals Partner Integrations team develops innovative technological solutions to help merchants seamlessly expand their operations, including our platform for first-party grocery and convenience delivery. As DoorDash scales its integrated delivery...Hourly payWork at officeLocal areaRemote workFlexible hours$85k - $115k
...technological capabilities with human expertise, judgment, and accountability. Group Details Tradeweb is seeking an Integration Specialist to join our Market Support department. This role requires an analytical and creative approach to troubleshooting, strong problem...Full timeWork at officeImmediate startFlexible hours- ...have a core goal of exceeding their expectations in service, integrity, value, and expertise. Our teams of consultants are among the... ...experts. We’re seeking an Senior Legal Technology Integration Specialist who will report to the Director, DMS and Network Information...Remote work
- ...strategic, humanized experiences (physical & digital) for our Payments business within 1st and 3rd party moments, helping to deepen the... ...with internal teams and external partners, laddering into integrated 360 campaigns (content, activations, digital, social, PR, etc....Work at office
- CoxHealth in Springfield, MO is hiring a Remittance Specialist to post payments and adjustments for all payer types in our patient accounting system. You will reconcile daily deposits, identify variances, and correct errors to reduce outstanding accounts receivable. The...
$40 - $60 per hour
A consulting company in New York is looking for a Unifier Specialist. This role requires a deep understanding of Unifier and database operations, as well as skills in integration middleware and SQL. Responsibilities include managing integrations and providing support for...Hourly payContract work- VillageMD in New York is seeking a Payment Solutions - Accuracy & Resolution Specialist to resolve payment discrepancies and analyze patient accounts. You will work with Athenahealth, bank and payer portals, and internal reporting tools to ensure accurate postings and...
- Payment Recovery & Reconciliation Specialist page is loaded Payment Recovery & Reconciliation Specialist Apply locations: US FL St. Petersburg, US GA Atlanta, US FL Remote, US GA Remote Time type: Full time Posted on: Posted Yesterday Job requisition id: JR107668 At Zelis...Full timeLocal areaRemote work
- Trinity Health is seeking a remote data analyst to support revenue integrity through data analysis, reporting and process improvement. You will apply CPT/HCPCS coding knowledge and collaborate with clinical teams to ensure accurate billing and compliant practices. You will...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Payment Integrity Specialist -- W2. Be the first to apply!
- configuration specialist New York, NY
- localization specialist New York, NY
- intervention specialist New York, NY
- investigations specialist New York, NY
- referral specialist New York, NY
- ecommerce specialist New York, NY
- workforce management specialist New York, NY
- community health promotion specialist New York, NY
- title specialist New York, NY
- infectious disease specialist New York, NY

