🛠 Tech Stack

💼 About This Role

You'll lead claim auditing algorithm design and recovery of improper payments as a player-coach on the Payment Integrity team. Your work directly improves financial accuracy for payer clients through hands-on technical execution and cross-functional collaboration.

🎯 What You'll Do

• Research and document new payment integrity concepts from medical policies
• Translate billing rules into technical specifications for auditing algorithms
• Perform expert-level claims auditing to validate improper payment scenarios
• Conduct hands-on data analysis using Excel to quantify savings potential

📋 Requirements

• 8+ years experience in claims auditing or payment integrity
• Certified coder credential (e.g., CPC, CCS, RHIA, RHIT)
• Advanced Excel proficiency and healthcare revenue cycle knowledge
• Bachelor's degree in Health Information Management or related field

✨ Nice to Have

• Dual coding and HIM credential (CCS/CPC + RHIA/RHIT)
• Experience developing claim auditing algorithms
• Familiarity with data science platforms or IT implementation

🎁 Benefits & Perks

• 💻 Fully remote with minimal travel
• 🩺 Medical, dental, vision, life, disability insurance
• 📈 401K with company match and flexible spending accounts
• 🏝️ Flex Time Off plus company holidays
• 👶 Up to 14 weeks paid parental leave

📨 Hiring Process

Estimated timeline: 2-4 weeks · AI estimate

1. 1Phone Screen with Talent Acquisition· 30 min
2. 2Meet Hiring Manager· 45 min
3. 3Behavioral Interview(s)· 60 min