Remote RN Payment Integrity Leader

Pivotal Placement Services, Inc; Nashville (TN); Remote; USD 110,000 - 140,000; Full time

Job summary

Pivotal Placement Services, Inc. is seeking a Payment Integrity Manager to lead initiatives that improve healthcare payment accuracy, coding integrity, and financial performance.

Fully remote and open to candidates anywhere in the United States, you will oversee audits and collaborate with clinical, coding, and operational teams. Active RN license and current coding certification are required, along with leadership experience.

Qualifications

• Active RN license in your state of employment.
• Current coding certification (CPC, CCS, RHIT, or equivalent).
• At least 1 year of leadership or supervisory experience.

Responsibilities

• Lead payment integrity and revenue integrity initiatives across the organization.
• Oversee audits and reviews focused on coding accuracy, reimbursement, and compliance.
• Identify trends, recover revenue opportunities, and reduce payment inaccuracies.
• Collaborate with clinical, coding, and operational stakeholders to improve processes and outcomes.
• Analyze claims, coding practices, and reimbursement methodologies to identify areas for improvement.
• Mentor and support team members while helping build a culture of continuous improvement.

Skills

RN license

Coding certification

Job description

Pivotal Placement Services, Inc. is seeking a Payment Integrity Manager to lead initiatives that improve healthcare payment accuracy, coding integrity, and financial performance.

Fully remote and open to candidates anywhere in the United States, you will oversee audits and collaborate with clinical, coding, and operational teams. Active RN license and current coding certification are required, along with leadership experience.