Hybrid Billing Integrity Associate: Itemized Bill Review

Oscar Health; Tempe (AZ); Hybrid; USD 83,000 - 109,000; Full time

Benefits offered by this job

Unlimited vacation

Annual performance bonus

Job summary

Oscar Health is hiring an Associate, Payment Integrity, Itemized Bill Review (IBR) to join our Payment Integrity team in Tempe, AZ on a hybrid schedule with 3 in-office days per week.

In this role you will perform line-by-line reviews of high-dollar facility bills, identify billing errors, apply CPT/HCPCS/ICD-10 knowledge, document findings, and partner with stakeholders to drive claim accuracy and policy improvements. Bachelor’s or 4+ years in bill/coding audit required.

Qualifications

• Bachelor’s degree or 4+ years of commensurate experience.
• 2+ years of bill / coding audit experience with a focus on hospital or facility billing (UB-04).
• 4+ years experience in medical coding.

Responsibilities

• Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms (e.g., UB-04s).
• Proactively identify and document potential billing errors, including duplicate billing or improper unbundling.
• Compare billed charges against contracts and industry guidelines to confirm appropriate billing practices.

Skills

Billing audit

Medical coding

Certification: CPC/COC or CCS/RHIT/RHA

Education

Bachelor’s degree or 4+ years experience

Job description

Oscar Health is hiring an Associate, Payment Integrity, Itemized Bill Review (IBR) to join our Payment Integrity team in Tempe, AZ on a hybrid schedule with 3 in-office days per week.

In this role you will perform line-by-line reviews of high-dollar facility bills, identify billing errors, apply CPT/HCPCS/ICD-10 knowledge, document findings, and partner with stakeholders to drive claim accuracy and policy improvements. Bachelor’s or 4+ years in bill/coding audit required.