Outpatient Payment Integrity Specialist
MedReview Inc.
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 and enforce correct billing practices. The role requires 3+ years in outpatient coding, CPC/COC/CCS/RHIT/RHIA or equivalent credentials, and strong written communication to document audit rationale and support conclusions. #J-18808-Ljbffr MedReview Inc.
$56.78k - $96.53k
...appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. The Payment Integrity Analytics Specialist is responsible for data analysis, reporting, savings measurement, recovery tracking, operational performance...SuggestedWork experience placementWork at office- Tilled is seeking a Technical Operations Specialist to ensure successful partner integrations and smooth technical operations across the organization. This role bridges Engineering, Support, and Sales, providing deep technical expertise and resolving complex integration...SuggestedRemote job
- ...federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as... ...membership strongly preferred. Knowledge of Ambulatory Payment Classification (APC), & Outpatient Prospective Payment System (OPPS) reimbursement...SuggestedRemote jobFull timeWork experience placementLocal areaShift workDay shift
- ...Payment Processing Asst. Unit ManagerJob Summary – Asst. Unit Manager Payment Processing Role & Responsibilities:Lead day-to-day operations... ...RCA & putting mitigation plans in place for issuesPlay an integral role in continuous improvement of reporting processesDeveloping...SuggestedFlexible hours
$110.6k - $188.5k
...Analyst to join our Analytics team and support pharmacy claims integrity, adjudication validation, and operational excellence. This role... ...network pricing, financial reconciliation, contract compliance, or payment-integrity analysis. ~ Ability to interpret complex...SuggestedFull timeContract workLocal areaFlexible hours- ...compassionate Nurse Practitioner to join our outpatient team in Queens & Bronx. The NP will... ...targeted pain management plans within an integrated rehabilitation setting. The role partners with physical therapists and specialists to coordinate care, maintain compliant documentation...
- ...re looking for a detail-oriented, organized, and motivated Payment Posting Specialist to join our team on a temporary/contract basis. This is an... ..., you'll play an important role in maintaining revenue integrity, reducing accounts receivable (AR) aging, and supporting consistent...Contract workTemporary work
$98k - $140.25k
...help merchants and consumers connect, transact, and complete payments, whether they are online or in person. PayPal is more than... ...each other, and our communities. Job Summary: The Senior Specialist, Integrated Marketing will be a key player on the Venmo Integrated Marketing...Work at officeLocal areaImmediate startFlexible hours- Jobgether SRL on behalf of a partner seeks a Payment Integrity Program Manager based in the United States. The role is fully remote and leads inpatient audit programs spanning clinical validation, DRG coding, readmission reviews, and hospital bill audits with defensible...Remote job
- National Life Group is seeking a Payment Center Customer Service Rep to assist customers across America with life and annuity policies. The role emphasizes first-call resolutions, payment processing, and collaborative teamwork to deliver peace of mind. You will work in...Remote job
$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
$132k - $201.5k
...general direction of the Assistant Director - Corporate Systems or equivalent. Candidate should have extensive knowledge of ERP Integrations and should be experienced with modern integration technologies. Responsibilities ~ Lead the design of integrations...Full timeLocal areaShift work- Outpatient Clinical Documentation Improvement (CDI) Specialist Remote At UASI, we're driven by a mission to improve the quality and accuracy of clinical documentation... ...compliance, and clinical documentation integrity. This role requires strong clinical judgment, analytical...For contractorsRemote work
- JPMorgan Chase & Co. in New York seeks an International Payment Specialist to drive growth for its international banking group. You will advise clients on treasury, trade, and lending solutions and work with bankers and product partners to develop global treasury services...
- ...perform simple charge entry tasks or enter payments collected from patients and prepare... ...across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school... ...quality care to all who need it. Through the integration of its hospitals, labs, and schools,...Hourly payTraineeshipWork at officeLocal area
- Datavant is seeking an experienced outpatient coder to join our remote team and support precertification and coding for various procedures including same-day and outpatient. Expertise in Interventional Radiology and EPIC and 3M/Solventum is required. You will review records...Remote jobRelocation package
- iShare Inc. is seeking a Customer Service Representative to support clients handling retirement plan payments. This remote role requires strong communication, attention to detail, and the ability to manage inquiries about periodic and non-periodic payments. You will work...Remote job
- MD Integrations is seeking a Forward Deploy Engineer to act as the technical liaison for customer implementations and expansions of integrations. You will guide projects from kickoff to go-live, configuring API connections, reviewing logs, and troubleshooting issues to...
- Access Healthcare is seeking a Membership Eligibility Specialist to verify Medicaid eligibility and reconcile payments for Medicare Advantage members. This role demands meticulous attention to detail, strong analytical skills, and the ability to navigate multiple systems...
- ...something meaningful. You will build a career that you are proud of, at a company you can believe in. Ferguson is seeking an Integration Specialist to provide high-quality technical support for municipal metering systems while assisting with system integrations and...Remote jobHourly payFor contractorsLive inWork at officeNight shift
$33.05 - $49.6 per hour
...document, and report denial resolutions, appeal outcomes, and coding quality issues. Support compliance, quality assurance, and revenue integrity initiatives through issue monitoring and escalation resolution. Educate clinicians, coders, and staff by sharing findings and...Hourly payDaily paidFull timeTemporary workPart timeWork at officeLocal areaRemote workFlexible hoursShift workDay shift- ...necessary tools and technology to ensure seamless productivity, whether you're working from home or the office.SUMMARY:The Payment Recovery Specialist I supports the accurate and timely administration for one of three specialty functions: charge-offs, bankruptcy, or...For contractorsWork experience placementFor subcontractorWork at officeLocal areaRemote workWork from homeFlexible hours
- Rainbow USA Inc. is seeking a Corporate Lease Administration Specialist to oversee rent-related obligations, data accuracy, and timely payments at our Brooklyn, NY headquarters. The role requires careful interpretation of lease terms, strong collaboration with cross-functional...
- Union General Hospital in Blairsville, GA is seeking a Switchboard Operator to handle patient communications and payments. This full-time role supports the Patient Accounts team under supervision, directing calls, collecting payments, and guiding patients to the appropriate...Full time
- ...LightForce continues to push the boundaries of what’s possible in personalized care. Learn more at Description As a LightForce Integration Specialist, you will drive the onboarding, adoption, and growth of the LightForce’s orthodontic system in orthodontic practices. You...Work experience placementWork at officeLocal area
- ...JERSEY OFFICES. Lucrotec is a rapidly growing, financial technology company that works with enterprise level clients to process their payments. Clients leverage our proprietary software platform to make payments via virtual card, ACH, wire, and check. We ensure payments...Live inWork from home
- Rentokil North America is seeking an AR Customer Payments Specialist to process daily payments, handle refunds, and resolve misapplied or missing payments. The role includes posting lockbox payments, credit card processing, and reconciling cash with the bank, with potential...
- Global Payments in Illinois is seeking a Supplier Enrollment Specialist to grow our virtual card network. You’ll educate suppliers on virtual payments and guide enrollment, delivering excellent service and driving adoption of innovative payment solutions. Responsibilities...Remote job
$38.73 - $66.8 per hour
...medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at... ...to join our team as a Per Diem Integrative Health & Lifestyle Specialist (FGP) - Manhattan, Center for Women's Health. In this role, the...Hourly payDaily paid
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