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Remote Payment Integrity Analyst Jobs in Florida

Revenue Integrity Analyst

Fort Myers, FL · On-site +1

$22.78 - $29.62/hr

Remote - Florida Department: Department of Revenue Integrity Work Type: Full Time Shift: Shift 1/7 ... payment status and changes. Communicates relevant information to all applicable department ...

Revenue Integrity Analyst

Fort Myers, FL · Remote

$22.78 - $29.62/hr

Remote - Florida Department: Department of Revenue Integrity Work Type: Full Time Shift: Shift 1/7 ... payment status and changes. Communicates relevant information to all applicable department ...

Service beyond self We serve othersclients, customers, and teammateswith care and integrity in ... Remote Job Requisition 04EA5 Work From Home Yes Apply now Save jobSaved job

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Freelance Medical & Billing Coder

Orlando, FL · Remote

$17.50 - $23.25/hr

... Payment integrity or professional bill review experience is strongly preferred. Out-of-network bill review experience is a plus. Experience working in a remote environment is preferred. Experience in ...

Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY. Hybrid ... Support encounter submission accuracy, payment integrity programs, and financial forecasting.

Payment Posting Manager

Jacksonville, FL · On-site +1

$50K - $70K/yr

Payment Posting Manager Full-time Corporate Remote (U.S.) H2 Health is seeking an experienced ... revenue integrity. In this high-impact role, you'll help support a growing national therapy ...

This is a full-time, remote opportunity for a collaborative leader who is passionate about process ... revenue integrity. In this high-impact role, you'll help support a growing national therapy ...

Billing Analyst at 100% Remote - L3 Harris (Aerospace & Defense). Job Title: **Billing Analyst ... Experience with payment systems such as WAWF, ExoStar, IPP, MPO, ViaSat, or PLSC * Experience in ...

AR Analyst

Orlando, FL · Remote

$60K - $62K/yr

Remote, however candidates MUST be commutable to Orlando Florida About the Role Our client, a B2B ... Analyze large data sets and prepare spend reports, payment analyses, and other reporting as needed ...

... assets, payment applications, and programmable blockchain infrastructure. Circle's platform ... High Integrity, Future Forward, Multistakeholder, Mindful, and Driven by Excellence. We have built ...

Oncology CTMS Analyst

Miami, FL · Remote

$28 - $38/hr

Senior Oncology CTMS Analyst (Remote) - 15-Week Contract Miami, FL Area (Remote) $28.00 - $38.00 ... Monitor data quality, system integrity, and compliance with institutional standards * Create ...

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Remote Payment Integrity Analyst information

What is a remote payment integrity analyst?

A Remote Payment Integrity Analyst is a professional who works from a remote location to review healthcare or insurance claims for accuracy, compliance, and potential fraud. Their primary role is to ensure that payments made by insurance companies or healthcare providers are correct and align with policy guidelines. They use data analysis, auditing processes, and investigative techniques to identify improper payments or billing errors. This helps organizations recover overpayments, prevent financial losses, and maintain regulatory compliance. Remote Payment Integrity Analysts typically work for health insurers, government agencies, or third-party vendors.

How does a remote payment integrity analyst typically collaborate with other departments to resolve payment discrepancies?

As a Remote Payment Integrity Analyst, you'll regularly work with teams such as billing, claims, and provider relations to investigate and resolve payment discrepancies. Clear communication—often via email, virtual meetings, or internal platforms—is crucial for gathering documentation, clarifying complex cases, and ensuring timely resolution. Collaboration may also involve sharing findings or trends to help improve overall payment processes and prevent future errors. This cross-functional teamwork is essential for maintaining accuracy and compliance in healthcare or insurance payment systems.

What are the key skills and qualifications needed to thrive as a remote payment integrity analyst, and why are they important?

To excel as a Remote Payment Integrity Analyst, you need strong analytical skills, experience in healthcare claims or payment analysis, and a bachelor’s degree in a related field. Familiarity with data analysis tools (such as Excel, SQL, or claims processing systems) and knowledge of industry regulations like HIPAA are typically required. Attention to detail, problem-solving abilities, and effective communication are vital soft skills for investigating discrepancies and collaborating with stakeholders. These competencies ensure the accurate identification of improper payments, cost savings, and compliance within healthcare organizations.

What is the difference between Remote Payment Integrity Analyst vs Remote Claims Auditor?

AspectRemote Payment Integrity AnalystRemote Claims Auditor
Required CredentialsCertifications in healthcare compliance, coding, or auditingCertifications in claims processing, auditing, or healthcare reimbursement
Work EnvironmentRemote, healthcare or insurance companiesRemote, insurance or healthcare organizations
Industry UsageHealthcare payers, insurance companiesInsurance companies, third-party administrators
Common Search IntentUnderstanding roles in payment integrity and fraud preventionAuditing claims for accuracy and compliance

The Remote Payment Integrity Analyst focuses on detecting and preventing improper payments, fraud, and abuse within healthcare claims, often requiring compliance and coding certifications. In contrast, the Remote Claims Auditor reviews claims for accuracy and adherence to policies, typically with auditing certifications. Both roles are remote, industry-specific, and involve analyzing healthcare or insurance claims, but they emphasize different aspects of claims management and compliance.

What are the most commonly searched types of Payment Integrity Analyst jobs in Florida?

The most popular types of Payment Integrity Analyst jobs in Florida are:

What are popular job titles related to Remote Payment Integrity Analyst jobs in Florida?

For Remote Payment Integrity Analyst jobs in Florida, the most frequently searched job titles are:

What cities in Florida are hiring for Remote Payment Integrity Analyst jobs?

Cities in Florida with the most Remote Payment Integrity Analyst job openings:

Revenue Integrity Analyst

Lee Health

Fort Myers, FL • On-site, Remote

$22.78 - $29.62/hr

Full-time

Posted 4 days ago


Lee Health rating

7.0

Company rating: 7.0 out of 10

Based on 198 frontline employees who took The Breakroom Quiz

416th of 893 rated healthcare providers


Job description

Location: Remote - Florida
Department: Department of Revenue Integrity
Work Type: Full Time
Shift: Shift 1/7:00:00 AM to 3:30:00 AM
Minimum to Midpoint Pay Rate: $22.78 - $29.62 / hour
Summary
Resolves billing issues, and provides coverage guidelines for billable services to reduce or prevent future claim denials. Employs Craneware Online, EPIC WQ workflows, and other accredited resources for assigned cost center(s) to identify potential reimbursement opportunities in a proactive manner. Ensures the appropriate bundling or unbundling of charges, and applicable modifiers applied so that all charges that are submitted result in optimal reimbursement while following applicable billing, coding and reimbursement regulations within respective areas. Interacts with other departmental staff, i.e. BO, HIM and ADT for resolution of third party payer billing disputes. Additionally, resolves CCI edits as appropriate, reviews Medicare intermediary and other third party payer bulletins to keep current on billing requirements and APC payment status and changes. Communicates relevant information to all applicable department personnel. Communicates results through daily interaction and monthly status meeting to the department team. Provides other support as needed.Requirements
Educational Requirements
Degree/Diploma ObtainedProgram of StudyRequired/
Preferred
and/orHigh School Diploma or EquivalentRequiredAdditional Requirements
Prefer Bachelor Degree or higher formal education, 2 years formal education post high school in clinical, financial, or coding program.Experience Requirements
Minimum Years RequiredArea of ExperienceRequired/
Preferred
and/or3 YearsHealthcareRequiredAdditional Requirements
3 experience in healthcare-related field, in hospital billing, coding and/or charging/reimbursement-related capacity. Additional clinical experience in related field a plus.State of Florida Licensure Requirements
LicensesRequired/
Preferred
and/orNot RequiredCertifications/Registration Requirements
Certificates/RegistrationsRequired/
Preferred
and/orAdditional Requirements
Coding certification preferred to include CPT, HCPCS, ICD9-10, and DRG

US:FL:Fort Myers

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Benefits

Hours and flexibility

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About Lee Health

Sourced by ZipRecruiter

Lee Health is one of the largest public health systems in the U.S. and one of the largest not-for-profit public health systems in Florida. With 4 acute care hospitals; Lee Memorial, Healthpark Medical Center, Cape Coral Hospital and Gulf Coast Medical Center, two specialty hospitals; Gaisano Children's Hospital and The Rehab Hospital. Lee Physician Group with over 80 practices throughout Southwest Florida, a Regional Cancer Center, seven outpatient centers, three walk-in clinics and two pediatric outpatient facilities. HEALTHGRADES ranks Lee Healths four acute care hospitals in the top 5% in the nation for overall clinical excellence in 2019, 2020, 2021 AND 2022 and is included in America's 250 Best Hospitals

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Fort Myers, FL, US

Year founded

1916