Remote Payment Integrity Analyst II — Clinical Audits
CorVel Corporation
- Remote job
CorVel is seeking a Payment Integrity Analyst to conduct pre- and post-pay claim audits in accordance with client policies and CMS guidelines. This remote role emphasizes clinical judgment, accuracy, and adherence to payer standards across multiple audit types, including DRG and itemized bill reviews. A current LPN/LVN/RN license and healthcare revenue cycle experience are required. Ideal candidates will excel in Excel Pivot tables, data analysis, and clear written communication, with #J-18808-Ljbffr CorVel
- CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS guidelines and client policies. This is a remote position with responsibilities spanning... ...review, and coordination with clinical teams.The role requires licensure...Remote job
$66.94k - $101.26k
...The Payment Integrity Analyst is responsible for accurately reviewing... ...- and post pay claim audits based on client,... ...guidelines. This is a remote position. ESSENTIAL FUNCTIONS... ...communication Use clinical judgement to... ...For leveled roles (I, II, III, Senior, Lead, etc...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$56.2k - $101k
...management experience preferred. Benefits and Payment Configuration: Compliance Coding/Prepay Compliance (Payment Integrity): Bachelor’s degree in related field or... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...Remote workFull timePart timeWork at officeFlexible hours$73.35k - $113.25k
...Job Description The Payment Integrity Analyst (Team Lead) assists with... ...and post pay claim audits based on client,... ...policies. This is a remote position. ESSENTIAL... ...PPI QC analysts and clinical appeal review teams as... ...For leveled roles (I, II, III, Senior, Lead, etc...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$83.8k - $134k
...innovative translational and clinical research that is driving a... ...Opportunity at MSK: Revenue Integrity Analyst II At Memorial Sloan Kettering... ...discrepancies while maintaining clear audit trails. Partner with... ...Friday Location: Hybrid; Primary remote with on site as needed at 63...Remote workFull timeMonday to Friday$75k - $90k
...This position reviews completed audit findings, validates... ...guidelines, pricing rules, and claim payment methodologies. The ideal... ...qualifications) Location: 100% Remote (U.S.-based) Up to 10% annual... ...healthcare auditing, Payment Integrity, coding, claim quality review...Remote workContract workTraineeship- ...Revenue Integrity Analyst II Join our team as a Revenue Integrity Analyst... ...), Wound Care, and Infusion Clinics. Get to Know Your Team... ...Office-based with hybrid/remote flexibility as approved by department... ...operational strategies. Audit Support Participates in...Remote workWork at office
- Medica is seeking a Coding Analyst II to perform high‑level coding, audits, and analysis to ensure accurate application of medical coding... ...‑functional partners and maintains data integrity and payment accuracy in a remote setting. The ideal candidate has a healthcare...Remote job
$85k - $110k
...This is a remote office opportunity. The Quality Analyst oversees work performed by the Clinical CVA auditors to ensure that... ...targeted clinical CVA audits. A brief coding/... ...collaboration, excellence, integrity and respect. We are... ...or asks for fees/payments or credit card or...Remote workWork at office$69.3k - $78k
...Medical Review Nurse II - Clinical Validation At Performant... ...identify improper payments and recoup or prevent... ...independent healthcare payment integrity company in the US and... ...medical claims audit reviews. As a MR Nurse... ...Payers. You will work remotely in a fast paced and dynamic...Remote workFor contractorsWork at officeWork from homeHome officeShift work$69.3k - $78k
A healthcare payment integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and Commercial Payers. The position requires... ...and documenting findings, all in a remote work environment. This role offers a...Remote job$37.84 - $58.75 per hour
Description This is a remote role The Clinical Research Budgeting Analyst will be responsible for... ...and the set-up of study payments milestones in the Clinical... ...full evaluation and integration of internal cost during... ...provide support with the auditing of billing records....Remote jobMinimum wageFull timeContract workLocal areaShift work- ...-00877Title: Senior Quality Analyst (Kafka Pipeline, AWS setup, Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-28Contact... ...(Brillio)/ Last option is remote Experience- 7+ Years We are... ...configuration storage, versioning, auditability, and rollback capabilities....Remote workContract work
- The Clinical Applications Analyst II at Moffitt advances cancer care by designing, implementing, and supporting Epic Prelude and related clinical applications. This mid-level role manages moderately complex projects and collaborates with clinical and operational teams...Remote job
- Mosaic Life Care is seeking a Payment Validation Analyst to ensure accurate payer reimbursement. The role involves analyzing contracts, resolving underpayments, and coordinating with Revenue Integrity and CDM teams to implement fee schedule corrections. Strong CPT/HCPCS...Remote job
- Oscar is hiring a Senior Analyst to support Payment Integrity by improving reimbursement policies, edits, and workflows. The role requires deep knowledge... ...delivering solutions with partners. This is a flexible remote position with potential hybrid future options. #J-18808...Remote jobFlexible hours
- ...accommodation or an alternative application process. Sr Payment Integrity Analyst Full Time Staff South Florida Community Care Network, LLC,... ...and post-payment reviews). Oversee the implementation of clinical and non-clinical claim editing systems or modules (e.g., duplicate...Remote workFull timeContract workWork experience placement
$39k - $81k
...our official hiring process or request payment or sensitive personal information. You... ...conversation.** The Onboarding Data Integrations Analyst partners with project teams to implement... ...regardless of criminal histories, consistent with legal requirements. #LI-Remote...Remote workFull timePart time- Moffitt Cancer Center in Tampa, FL, is hiring an Epic Research Tools Clinical Applications Analyst II. The role develops, tests, and maintains clinical and enterprise applications, ensuring reliability and alignment with standards. You will mentor junior analysts and provide...Remote job
- ...Epic Business Intelligence Analyst II to work with our Epic... ...modeling resource for our clinical areas. This is a remote role for the most part. There... ...! Longevity Pay (Monthly payments after two years of... ...suite of tools, and how they integrate with other applications.Establishing...Remote workFull timeFor contractorsRelocation
$48.35k - $66k
...generation of digital banking and payments, but our true impact begins... ...you. The Operations Business Analyst will play a critical role in... ...CRM and operational data integrity, supporting billing readiness... ...the role for you. This is a remote position and candidates must...Remote workContract workWork at officeLocal areaNight shift- ...Organization, which is the fully integrated, centralized revenue cycle... ...conducting quality control audits to ensure data/documentation... ...This includes compilation by clinical department for education deliverables... ...(20%) Review charges and payments for accuracy from contracted...Remote workContract work
$16.25 - $18.25 per hour
...Dispute Resolution Analyst Overview: J29... ...records, data, and audits between areas of compliance... ..., policy, and clinical expertise. Our team... ...in program, payment, provider, and patient integrity as we continue to support... ...Location: Remote Salary: $16.25-1...Remote workHourly payWork at officeImmediate start$101k - $119k
...work of your life at Boulevard. Integrated payments processing is a core... ...business and are looking for a Risk Analyst to help review and approve... ...escalations. The Risk Analyst II conducts the reviews of new merchants... ...you need, guilt-free. Fully remote with support, including a $20...Remote workFull timeWork at officeLocal areaWork from homeHome officeFlexible hours- ...The Payment Validation Analyst works under the supervision of the Director of Revenue Integrity. Responsible for ensuring accurate... ...Responsibilities Remote States: Candidates... .../Coding and Charge Audit experience. - Required... ...and virtual health clinics and many more. When...Remote workContract workWork experience placement
$91.25k - $120.91k
..., the Healthcare Data Analyst II (HDA) is responsible for... ...for the Health Plan’s Clinical and Provider... ...studies/analyses, and payment algorithms supporting... ...and maintaining data integrity and accuracy, across multiple... ...schedule. (Mon & Fri - remote, Tues - Thurs onsite in...Remote workTemporary workWork experience placementFlexible hours- ...Health is hiring a Sponsor Dedicated CRA I/II to support clinical monitoring activities across sites, ensuring regulatory compliance and data integrity. You will perform site visits, review ISF/TMF, and help prepare for audits in a Real World Late Phase setting. The role...Remote job
$93.6k - $117k
.... Our Data Scientists, Analysts, and Engineers work together... ...ll doAs a Data Analyst II (DA), you will play a... ...per year of fully remote work!ResponsibilitiesApply... ...checks to ensure the integrity and robustness of datasets... ...financial services, or payments.Comfort operating in a...Remote workWork at officeWork from home$57k - $87.4k
Project Coord Analyst II_ENPC1HRemote, United States, Alabama | Remote, United States, Arizona | Remote, United States, Arkansas... ...reports, and resolve invoice or payment discrepancies. You will also... ...contractor information, maintaining audit-ready documentation,...Remote workMinimum wageFull timeTemporary workFor contractorsLocal areaWork visa$90k - $105k
...fit for you! The Compensation Analyst II supports the day-to-day... ...pricing, compensation data audits, and support for compensation... ...refresh, data quality, and integration activities. Conduct market... ...compensation-related one-time payments, and merit releases following...Minimum wageTemporary workLocal areaFlexible hours
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