Payment Integrity Auditor

A company is looking for a Payment Integrity Auditor. Key Responsibilities: Conduct complex audits to identify claim overpayments and ensure compliance with billing and coding parameters Evaluate and audit medical and billing records, and interact with providers to clarify issues and negotiate resolutions Document discrepancies, initiate claim adjustments, and serve as the liaison for vendor claims processing Qualifications: Bachelor's degree or equivalent Minimum 3 years of relevant experience in healthcare auditing, coding, or compliance Preferred certifications include RHIA, RRA, CCS, ART, CPC, CORT, or RN Working knowledge of healthcare provider audit methods and payment methodologies Strong proficiency in MS Excel and audit tools

Created: 2026-03-05