• Payment Integrity Nurse

    LA Care Health Plan (Los Angeles, CA)
    Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full ... to support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating,… more
    LA Care Health Plan (08/23/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
    Molina Healthcare (09/06/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    …Auditor, Associate** to join our team. This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and federal ... to hear from you! Apply now and join a team that values precision, integrity , and strategic thinking. + High School Diploma or equivalent required. + Associate's… more
    UPMC (07/24/25)
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  • Compliance Auditor, Intermediate (Cemc, CPC,…

    UPMC (Pittsburgh, PA)
    …will play a crucial role in upholding our standards and ensuring the highest level of integrity in our operations. Join us and be part of a team that values your ... + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience in an… more
    UPMC (09/04/25)
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