Remote Performance Integrity Analyst I — Audit & Data

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

Job summary

A healthcare company is seeking a Performance Integrity Analyst I to audit claims for accuracy and increase quality throughout the organization. The role involves utilizing mathematical concepts, analyzing claims coding systems, and generating reports to enhance performance. Ideal candidates will have experience in claims processing, proficiency in various software, and strong communication skills. This position offers competitive pay, benefits, and flexible remote work options, making it a perfect opportunity for those dedicated to improving health care.

Benefits

Medical, dental and vision coverage

Annual employer contribution to health savings account

Generous paid time off

Market-leading retirement plan

Up to 12 weeks parental leave

Award-winning wellness programs

Employee Assistance Fund

Commute and parking benefits

Responsibilities

• Audit claims for accuracy according to policies and guidelines.
• Participate in developing department standards and feedback.
• Stay current on applicable policies, procedures, and guidelines.
• Investigate and report inconsistencies in manuals and guidelines.
• Compile performance statistics and identify trends.
• Generate reports for management.
• Participate in testing system changes.

Skills

Ability to understand and apply mathematical concepts

Demonstrated proficient PC skills

Knowledge of claims coding and applicable systems

Audit experience

Ability to organize and prioritize work

Detail-oriented and self-motivated

Effective oral and written communication

Experience with AI tools

Education

Two years of experience as a Claim processor or equivalent

Tools

Word

Excel

Outlook

Facets

eVIPS

Radar

Job description

A healthcare company is seeking a Performance Integrity Analyst I to audit claims for accuracy and increase quality throughout the organization. The role involves utilizing mathematical concepts, analyzing claims coding systems, and generating reports to enhance performance. Ideal candidates will have experience in claims processing, proficiency in various software, and strong communication skills. This position offers competitive pay, benefits, and flexible remote work options, making it a perfect opportunity for those dedicated to improving health care.