Remote Medical Coding Quality Analyst - Payment Integrity
$28.27 - $50.48 per hourOptum
- Remote job
A healthcare organization in San Antonio seeks a Payment Integrity Coding Consultant to ensure medical coding accuracy and compliance. This role offers the flexibility to work remotely from anywhere in the U.S. Candidates should have a degree in Healthcare Administration or relevant experience, along with coding certification. Responsibilities include conducting audits, providing coding expertise, and tracking claims. Competitive hourly pay ranges from $28.27 to $50.48, with a comprehensive benefits package. #J-18808-Ljbffr Optum
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...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our... ...matter expert, blending deep coding domain expertise with advanced analytics... ...opportunities. Translate Policy: Convert medical policy, CMS rules, and coding...Remote work- ...Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in... ...be responsible for reviewing medical correspondences, analyzing itemized... ...background in claims, medical coding, or payment integrity systems. You...Remote workContract work
$87.7k - $157.8k
...and systems to assure integrity and compliance in billing and claims payment Lead teams of analysts to appropriately... ...experience. 4+ years of medical claim investigation,... ...Microsoft Excel, medical coding, claims processing,... ...approach to work with remote, hybrid, field or...Remote workFull timeContract workPart timeWork at officeImmediate startFlexible hours- ...as hybrid, onsite or remote. While the majority... ...PURPOSE OF THE JOB The Payment Integrity Operations Analyst is responsible for... ...Analytics, Clinical/Coding SMEs, and Technology... ...success metrics (quality, financial, timeliness... ...Working knowledge of medical terminology, coding...Remote jobFull timeContract workWork experience placementWork at office1 day per week
$28.27 - $50.48 per hour
...Caring. Connecting. Growing together. The Payment Integrity Coding Consultant position is responsible for determining medical appropriateness of inpatient and outpatient... ...regulations. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on...Remote workHourly payMinimum wageFull timeWork experience placementLive inLocal area- NTT America, Inc. is seeking a Salesforce Senior QA Analyst to lead testing efforts for Salesforce Sales Cloud and Service Cloud. The role involves creating test cases, validating integrations, and ensuring business requirements are met. The ideal candidate will have 6...Remote job
$112.8k - $188k
...analytical support for the Payment Integrity team, evaluating current payment... ...‑payment editing, clinical coding audits, and recovery. You... ...Responsibilities Support strategic medical cost analytics by... ...analytics by improving data quality, strengthening controls, and...Remote jobLocal areaWork from home- ..., provider solutions, payment integrity, claims cost containment... ...excellent call quality, contact handling and... ...Job title: Quality Analyst Job Description:... ...Responsibilities: Remotely monitors customer service... ...call handling, accurate coding in CRS and making appropriate...Remote workImmediate startWork from home
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- Commence seeks a Healthcare Program Integrity Solutions Consultant to enhance commercial payer... ...demands expertise in healthcare fraud, payment integrity operations, and the ability to... ...offers a competitive salary, and remote opportunities are available in many states...Remote work
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$29 - $52 per hour
...Responsibilities Serve as a liaison between coding teams and providers, delivering expert... ...providers who do not meet established quality standards. Perform ad hoc audits in... ...maintained annually ~3+ years of Physician medical coding (ICD-10, CPT, HCPCS II) experience...Remote workHourly payMinimum wageFull timeWork experience placementLocal area- ...Title: Medicare SME- Payment Integrity Analyst Duration : 12 months Location : Remote This resource will implement a process to test end-... ...across the inputs that support claims payment (medical policy, authorization, benefits, CMS rules,...Remote work
- ...QC Analyst Location: Harrisburg, PA Duration:... ...Management, Case Management, Payments, Dispute Management,... ...the QC Lead to ensure quality control. Manage and... ...in large-scale integrated solutions for tolling... ...position is primarily remote but will require on-site...Remote workWork at office
- ...Inc. Atlanta or Remote About Rialtic Rialtic... ...’s best‑in‑class payment accuracy product... ...efficiency and improve quality of care. For more... ...Client Experience Analysts to identify... ...focused. Values High Integrity - Do the right... ...Teladoc, and One Medical subscriptions. Salary...Remote workWork from homeHome office
- ...Title: QA Analyst Location: South Carolina - Remote Job Description: About the Role... ..., and end-to-end quality assurance of financial applications... ...functional, regression, integration, system, and UAT testing... ...loan lifecycle, payments, collections, KYC/AML, risk...Remote work
- ...seeking a Senior Sales Executive to drive enterprise growth in Payment Integrity solutions for large health plans. You will lead consultative... ...strong relationships with senior leaders. This is a fully remote position with competitive benefits. #J-18808-Ljbffr Vālenz Health...Remote job
- Lendbuzz, Inc. is looking for a full-time remote Payments Product Manager. In this role, you will manage end-to-end payment experiences... ...particularly with technical teams, and a deep understanding of banking integration and payment processing. #J-18808-Ljbffr Lendbuzz, Inc.Remote jobFull time
$14 - $17 per hour
...Position Title QA Analyst Studio/Department Quality Assurance Employee Type Full Time Location San Diego, CA/Remote (Daybreak Approved Remote Locations... ...idea Honesty/Humility: Integrity matters We know that to... ...ask applicants to provide payment during the hiring process...Remote workHourly payFull timeTemporary workWork at officeWorldwide- HealthEdge is seeking a Vice President, Payment Integrity to oversee the strategy, financial performance, and operational execution of payment integrity solutions. This role involves driving innovation and aligning with enterprise objectives. The ideal candidate will have...Remote job
$72.8k - $130k
...Clinical Consultant - Payment Integrity Explore... ...highest level of medical care. Here, you will... ...published CMS, Coding and other industry... ...to Medical Coding Analysts, as well as cross... ...to work remotely from anywhere within... ...improvement in overall quality, completeness,...Remote workMinimum wageFull timeWork experience placementLocal area$240k - $265k
HealthEdge Software, Inc. is looking for a Vice President, Payment Integrity to lead the strategy and execution of payment integrity solutions... ...methodologies and senior leadership. This is a full-time remote position with an annual salary range of $240,000 to $265,000....Remote jobFull time- Optum in Newtown Square is looking for a Coding Quality Analyst to review medical records and craft appeal letters. The role demands coding expertise including... ...ICD-9 and ICD-10 knowledge and the ability to work remotely. Ideal candidates will have at least 3+ years of...Remote job
- ...health outcomes. This role involves serving as a liaison between coding teams and providers, delivering expert guidance, and educating... ..., professional certification, and experience in physician medical coding across various specialties. The position offers flexibility...Remote job
- Health Care Service Corporation is seeking a Sr. Manager of Payment Integrity Operations based in Chicago, IL. This role is vital in managing daily operations, ensuring effective use of enterprise information to deliver business value. The ideal candidate will have a Bachelor...Remote job
- Wisconsin Psychiatric Association Inc is seeking a Coding Quality Analyst to ensure compliance and accuracy in medical coding. The role involves conducting thorough... ...relevant credentials. This position offers full-time remote work flexibility as well as a comprehensive...Remote jobFull time
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