Job Description

Payment Integrity – Complex & Clinical Audit (Quality Analyst – Medical Coding Certified)

Are you a clinically trained professional with a strong eye for detail and a passion for audit quality?

Join our Payment Integrity team and play a critical role in ensuring accurate DRG validation and clinical audit outcomes across complex healthcare transactions.

About the Company

We support enterprise-wide healthcare payment integrity initiatives by delivering high-quality clinical and coding audits. Our teams partner closely with internal and external stakeholders to ensure accuracy, compliance, and continuous improvement in healthcare reimbursement and documentation practices.

About the Role

The
Quality Analyst (Medical Coding Certified)
will support leadership and DRG Validation Auditor associates by evaluating audit quality, identifying trends, and driving corrective actions. This role involves conducting routine to complex audits across sys...

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