Remote Performance Integrity Analyst I

Cambia Health Solutions; Remote; USD 60,000 - 80,000; Full time

Job summary

A health care company is seeking a Performance Integrity Analyst I for their remote team. This role involves auditing claims for accuracy and providing feedback to improve service levels. The ideal candidate will have at least two years of relevant experience and strong skills in claims coding, data analysis, and effective communication. This position offers competitive pay between $20.50 and $30.80 per hour, with numerous benefits including flexible work options and a robust retirement plan.

Benefits

Medical, dental, and vision coverage

Annual employer contribution to health savings account

Generous paid time off

Market-leading retirement plan

Paid parental time off

Award-winning wellness programs

Commute and parking benefits

Qualifications

• Two years of experience or equivalent education.
• Detail-oriented and able to communicate effectively.
• Proficient with corporate software such as Word, Excel, and Outlook.

Responsibilities

• Audit claims for accuracy according to policies and guidelines.
• Compile performance statistics and identify trends.
• Participate in team efforts to develop/update department standards.

Skills

Ability to understand and apply mathematical concepts

Demonstrated proficient PC skills

Knowledge of claims coding

Audit experience

Ability to organize and prioritize work

Detail-oriented and self-motivated

Effective communication skills

Experience with AI tools

Education

Two years experience as a Claim processor or equivalent

Tools

Word

Excel

Outlook

Facets

eVIPS

Radar

Job description

A health care company is seeking a Performance Integrity Analyst I for their remote team. This role involves auditing claims for accuracy and providing feedback to improve service levels. The ideal candidate will have at least two years of relevant experience and strong skills in claims coding, data analysis, and effective communication. This position offers competitive pay between $20.50 and $30.80 per hour, with numerous benefits including flexible work options and a robust retirement plan.