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
- ...waste, and abuse and ensure payment integrity. Codoxo helps clients manage... ...management, clinical care, provider coding and billing, payment... ...Data Mining Auditor performs medical claim audits to identify... ...logic. Maintain excellent quality, accuracy, and high productivity...Remote workContract workWork experience placementWork at officeLocal areaWork from homeHome office
- A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote job
- ...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
$75k - $100k
...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- ...Job Title: Payment Integrity Project Specialist Job ID: 26-02533 Location: Grand Rapids... ...Clinical editing. CMS Medical Coding Payment integrity. JOB DESCRIPTION... ...Health Project Management methodology and quality standards, oversees various high-...Remote workContract work
- ...Job Summary We are seeking an experienced Payment Integrity Specialist to support healthcare claims accuracy, payment validation,... ...Clinical editing CMS regulations and processes Medical coding Payment integrity programs and audits PMP certification...Remote work
$24.2 - $36.3 per hour
...preventing inaccurate payments and reducing... ...Payment Accuracy and Integrity and is HI-TRUST... ...Payment Integrity Analyst (Data Mining) supports... ..., billing and/or coding errors to prevent... ...turnaround time, and quality/audit standards... ...experience auditing medical claims to identify...Remote workFull timeContract workVisa sponsorship$72.8k - $130k
...- EDI Solutions Quality Assurance Analyst (2357893) EDI Solutions... ...and/or Claims Payment systems and... ...data integrations in the health care... ...our proprietary Medical Management system... ...flexibility to work remotely * from anywhere... ...knowledge of CPT coding or reimbursement...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- ...For roles that are 100% remote or hybrid, you must have access... .... Role Overview The Payment Integrity Vendor/Client Management Manager... ..., and improving the quality of services provided. The position... ...acumen is preferred Medical Coding certification preferred...Remote workContract workLive inFlexible 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... ...knowledge of medical terminology, coding...Remote workFull timeContract workWork experience placementWork at office1 day per week
$248.5k - $373k
Optum is looking for a Medical Director for the Clinical & Coding Advisory Team (CCAT) in Plymouth, Minnesota. This... ...fraud and ensure accurate claim payments. Preferred candidates have an MD or... ...between $248,500 to $373,000, with remote work allowed within the U.S. #J-188...Remote job$64.83k - $85.09k
Senior Analyst, Payment Integrity Disputes Remote Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity... ...edits. Research industry standard coding rules, summarize and provide input... ...operations 3+ years experience in medical coding Medical coding certification...Remote workFull timeContract workWork at office- ...Documentation Improvement Analyst 3 located in Columbus,... ...This role supports the integrity of healthcare documentation and medical coding. Applicants must have a... ...documentation quality and compliance as well... ...The position offers a remote work opportunity. #J-18...Remote job
- ...QA/INTEGRATION ANALYST - PHILADELPHIA, PA (REMOTE) We are seeking a hands-on QA/Integration Analyst to support a large-scale Virtual Building Automation... ...trail verification Execute end-to-end data quality validation, including: Schema compliance Field...Remote work
$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$182k - $217k
...is looking for a Director, Payment Integrity based in United States. This... ...a highly collaborative, remote-first environment where innovation... ...a credentialed clinical or coding expert looking to make a... ...healthcare payment integrity, medical auditing, revenue cycle...Remote jobFull timeContract work- ..., 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
- Description **Medical Mutual employees must... ...through our high-quality health, life,... ...Recovery program within Payment Integrity. Manages Itemized... ..., clinical coding audits, payment policy... ...you are working remote or in the office,... ...to Wall Street analysts or pay dividends...Remote workCasual workWork at office
$70k - $93k
...Related Group (DRG) Quality Analyst. This is a remote office opportunity.... ...audits. A brief coding/auditing assessment... ...Thorough understanding of medical terminology and... ..., excellence, integrity and respect. We are... ...requires or asks for fees/payments or credit card or...Remote workWork at office$77.96k - $120.37k
...healthcare technology company is seeking a Payment Integrity Supervisor to oversee the payment... ...integrity team's daily activities, focusing on quality assurance and provider appeals. The... ...benefits. The position is remote, providing flexibility and ensuring timely...Remote job$128k - $145k
...Senior Software Engineer, Payment Integrity This is a great... ...Design and build high quality software applications which... ..., efficient code in languages like NodeJS... ...Pay & Perks: Fully remote opportunity with about 5% travel Medical, dental, vision, life,...Remote workFlexible hours- ...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
- ...Sales Executive responsible for driving enterprise growth of Payment Integrity solutions among large national and regional health plans and... ...solutions and building executive relationships. This position is remote within the US, emphasizing collaboration and a strong results...Remote work
- ...Healthcare in Scottsdale, Arizona, is looking for a Lead Analyst to support health plan payment integrity activities. You will drive health plan financial... ...business analyst experience, strong knowledge of claims coding and regulations, and excellent analytical skills....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
$83.25k - $155.51k
Molina Healthcare seeks a Lead Analyst for health plan payment integrity activities in Atlanta, GA. The role includes managing operational projects, analyzing... ...experience in managed care, strong knowledge of claims coding, and the ability to lead projects independently. A...Remote job$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... ...in SQL and modern data tools. The role allows for remote work, but applicants must reside in New York or Vermont....Remote job- ...leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations... .... Responsibilities include managing quality assurance measures and resolving provider... ...on improving service delivery. This remote position requires strong experience in...Remote jobDaily paid
$83.25k - $155.51k
Molina Healthcare is seeking a Lead Level Analyst to provide support for health plan payment integrity activities. You will partner with leaders to enhance financial performance through evaluation and execution of operational initiatives related to payment integrity. Ideal...Remote job- A global payment technology firm is seeking an experienced Engineering Manager to lead their Integrations team. This role emphasizes technical ownership and team development within... ...firm offers competitive compensation, remote work options, and a one-time home office...Remote jobHome office
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