Remote Payment Integrity Analyst — Audits & Policy
Signature Performance
- Remote job
Signature Performance is seeking a Payment Integrity Analyst to work remotely in the United States. This role focuses on preventing overpayments and ensuring compliance within healthcare claims, involving responsibilities such as leading audits, developing claims editing rules, and conducting data analysis. The ideal candidate has over 5 years of experience in healthcare claims and advanced skills in SQL and coding systems. Benefits include health insurance and a 401(k) program with employer match. #J-18808-Ljbffr Signature Performance
$66.94k - $101.26k
...Description Job Description The Payment Integrity Analyst is responsible for accurately... ...completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines... ...workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workPolicyMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- ...Title: Medicare SME- Payment Integrity Analyst Duration : 12 months Location : Remote This resource will implement a process to test end-... ...inputs that support claims payment (medical policy, authorization, benefits, CMS rules, reimbursement...Remote workPolicy
$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our... ...edit opportunities. Translate Policy: Convert medical policy, CMS rules,... ...experience in prepay editing or post-pay audit logic. Education: Bachelor's degree...Remote workPolicy- A leading analytics firm is looking for a Senior Analyst specializing in Payment Integrity. This remote position will involve growing the edits library and ensuring... ...development, and ensuring compliance with coding policies. Competitive compensation and comprehensive...Remote jobPolicy
$69.4k - $99.2k
...Senior Data Mining & Payment Integrity Analyst Be part of a team that unleashes the power of leading... ...a generous, flexible vacation policy and educational assistance. We also have... ...translate complex policies into scalable audit and analytics solutions. You will collaborate...Remote workPolicyFull timeContract workFlexible hours$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... ...processing of payment policies, contract terms,... ...drive cases to a clear, audit-ready determination; escalate...Remote workPolicyFull timeContract workVisa sponsorship$69.38k - $92.28k
...techniques to identify improper payments, uncover cost savings opportunities... ..., claims adjudication, payment integrity operations, or healthcare... ...regulatory requirements and internal policies Where You'll Be This is a remote position; however, candidates must...Remote workPolicyLocal area$64.83k - $85.09k
Senior Analyst, Payment Integrity Disputes Remote Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity... ...expert for Oscar reimbursement policies, payment integrity disputes,... ...experience in claims processing, coding, auditing or health care operations 3+ years...Remote workPolicyFull timeContract workWork at office$83.25k - $155.51k
Job Summary Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and... ...to pre-pay editing, post-pay audit, and overpayment recovery initiatives... ...trends. Responsible for documenting policies and procedures related to concept...Remote jobPolicyTemporary workWork experience placementWork at office$69.38k - $92.28k
...analytical techniques to identify improper payments, uncover cost savings... ...billing, claims adjudication, payment integrity operations, or healthcare reimbursement... ...requirements and internal policies Where You’ll Be This is a remote position; however, candidates must...Remote workPolicyLocal area$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... ...contracts, BCBSRI policy, national coding guidelines... .... Ensure that all audit findings, exceptions and...Remote workPolicyContract workWork at officeWork from homeFlexible hoursShift work2 days per week1 day per week$66.94k - $101.26k
A healthcare solutions provider is seeking a Payment Integrity Analyst to conduct pre‑pay and post‑pay claim audits. The ideal candidate will have a current LPN, LVN... ...Responsibilities include reviewing compliance with client policies and CMS guidelines and utilizing clinical...Policy- ...Payment Integrity Product Development Specialist (Skilled Nursing Facility Or Snf Sme) At MedReview... ...launch of our SNF Payment Integrity audit product. This role is ideal for a... ...therapy documentation and state Medicaid policies. Monitor regulatory updates and recommend...Remote workPolicy
- ...risks from fraud, waste, and abuse and ensure payment integrity. Codoxo helps clients manage costs across... ...Mining Auditor performs medical claim audits to identify overpaid claims, through review of billing and coding policies, provider contract language, and State and...Remote workPolicyContract workWork experience placementWork at officeLocal areaWork from homeHome office
- ...Medicine , as a Revenue Integrity Analyst in the Revenue Cycle... ...charge capture audits and providing a continuous... ...adherence to policies. This position will also... ...services, or change in the payment rates for these and other... ..., including remote teams Excellent interpersonal...Remote workPolicyFull timeWork experience placementWork from homeMonday to FridayFlexible hoursShift work
$70k - $80k
...businesses to create amazing, integrated experiences that keep... ...Senior Game Integrity Analyst plays a critical role... ...with integrity policies. Monitor, investigate... ...Support, Risk, Payments, and Marketing teams to... ...internationally. #LI-REMOTE #LI-DNP This role...Remote workPolicy$65.79k - $79.72k
...Maintaining Workday Integrations with Enterprise... ...for data integrity/audits. #LI-Hybrid... ...centers. Employees in remote-by-design or lab-... ...will never request payments, financial... ...applicable data privacy policies and regulations.... ...Ripley. R1599666 : Workday Integration AnalystRemote workPolicyHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaFlexible hoursShift work- ...Join Teya Teya is a payment and software service provider, headquartered... ...2019, we build easy to use, integrated tools that enable our members... ...looking for a Payments Data Analyst to join our London team. You... ...and paternity leave policies for greater flexibility and support...Remote workPolicyWork at officeLocal area
- ...The Junior Customer Audit and Risk Analyst's primary responsibility... ...of internal policy and regulatory requirements... ...(or similar). #LI-Remote This fully remote... ...brokerages, fintechs, and payment companies to offer... ...Tokenize. Through a single integration, customers can launch...Remote workPolicyImmediate startWork from home
- ...departments to support operations and payment integrity activities. Research and respond to... ...edits and changes in medical reimbursement policies/guidelines. Initiate, develop,... ...Support cross-functional projects, including audit response, regulatory requests, and...PolicyWork experience placementWork at office
- ...Fiserv, a global leader in Fintech and payments, and we move money and information in... ...at Fiserv. Job Title Audit Analyst - Fee Integrity Group About your role: As an Audit... ...Paid holidays and generous time away policies. No-cost mental health support through...PolicyContract workTemporary workH1bWork at officeMonday to Friday
$81.07k - $129.71k
...hiring a Senior Business Analyst, Member Payments to join the Member Digital... ...changes to business processes, policies, information, and... ...Background supporting vendor integrations and third-party solutions... ...giving you flexibility to work remotely with intentional in-person...Remote workPolicyWork at officeLocal areaFlexible hours2 days per week$80.17k - $100.68k
...Freight Audit & Payment Analyst Darigold is seeking an experienced and motivated Freight Audit... ...ensure accuracy, compliance and financial integrity. This role exercises independent... ...alignment with contractual terms, internal policies and financial controls. Evaluate...PolicyLocal areaFlexible hours2 days per week- ...consulting firm is seeking a Senior Analyst to join the Edits team. This remote role involves managing the edit development lifecycle, ensuring payment accuracy, and driving process improvements... ...5 years of experience in payment integrity or claims analytics, and hold an...Remote job
- ...Workday Integration & Reporting Analyst When you become part of our... ...security protocols, and audit requirements related... ..., including hybrid, remote working, and virtual... ..., per internal policy or contractual designation... ..., or discretionary payments for exceptional...Remote workPolicyTemporary workLocal areaRelocation packageFlexible hours
- ...HealthOne seeks individuals with integrity and heart to embody our... ...goals. JOB PURPOSE A Payment Integrity Analyst reviews healthcare claims,... ...with rules (like CMS) and policies, using strong data analysis... ...medical coding (CPT/ICD-10), and auditing skills to prevent financial...PolicyContract workTemporary workImmediate startFlexible hoursNight shift
- ...seeking a Reporting Analyst Manager to join... ...completeness, and integrity of financial and operational... ..., and supporting audit and regulatory... ...controls, policies, and audit requirements... ...positions offer remote or hybrid work options... ...never ask for payment or banking information...Remote workPolicyWork at officeFlexible hours
$64.83k - $85.09k
Oscar is hiring a Senior Analyst in Payment Integrity Disputes in Tempe, Arizona. The role involves supporting dispute resolution, developing reimbursement policy, and identifying process improvements. Candidates should have at least 4 years experience in claims processing...Policy- ...Service Delivery Analyst Location: San Antonio... ...– onsite and remote Responsibilities... ...and timekeeping, policy, processes, and practices... ...• Analyze and audit payroll data for... ...garnishment payments • Complete employment... ...workforce solutions and integrated services across...Remote workPolicyFull timeContract workFor contractorsLocal areaOverseas
- ...Charge Description Master) Analyst supports the... ...codes, conducting data audits, and ensuring regulatory... ...and can be performed remotely. Responsibilities Review... ...quality checks to maintain integrity and accuracy of CDM-... ..., UB‑04 claim and payment remittance details. Knowledge...Remote jobWork at officeLocal areaShift work
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