Integrity Audit Coordinator

CODOXO IS NOT ABLE TO OFFER SPONSORSHIP OR ACCOMMODATE ANY CANDIDATES THAT ARE CURRENTLY BEING SPONSORED NOW OR IN THE FUTURE

Of the $3.8T we spend on healthcare in the United States annually, about a third of it is estimated to be lost due to waste, fraud and abuse. Codoxo is the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment integrity.

Codoxo helps clients manage costs across network management, clinical care, provider coding and billing, payment integrity, and special investigation units. Our software-as-a-service applications are built on our proven Forensic AI Engine
, which uses patented AI-based technology to identify problems and suspicious behavior far faster and earlier than traditional techniques.

We are venture backed by some of the top investors in the country, with strong financials, and remain one of the fastest growing healthcare AI companies in the industry.

The Payment Integrity Audit Coordinator is an operational role within the Data Mining team, supporting the day-to-day execution of payment integrity audit programs across Codoxo's client accounts.

This role is responsible for the operational groundwork that keeps audit workflows running smoothly—including audit setup and triage, audit queue management, correspondence coordination, mailroom operations, medical record intake, document management, and delivery support. The Payment Integrity Audit Coordinator works under the direction of the Data Mining Manager and Data Mining Analysts, following established processes and standard operating procedures (SOPs) to ensure accurate, timely, and organized audit operations.

As the primary coordinator for incoming audit correspondence and medical records, this role also manages the receipt, tracking, scanning, organization, and distribution of physical documentation critical to payment integrity investigations.

• Assist in the setup and configuration of new audit workflows within the Codoxo platform under manager, analyst, or client direction.
• Triage audit queues by organizing, sorting, and routing cases according to established priority rules and concept specifications.
• Handle audit file submissions to the client and the associated exception handling
• Track case volumes and queue status, identifying backlog issues or routing errors and escalating as appropriate.
• Maintain accurate records of audit activity, assignments, and workflow status within designated tracking systems.

• Receive, sort, and distribute incoming mail, packages, and audit-related correspondence.
• Process incoming medical records from providers, ensuring documents are accurately logged, date-stamped, scanned, indexed, and uploaded into appropriate systems.
• Maintain chain of custody and accurate inventory of physical medical records and audit documentation.
• Organize and manage physical and electronic document repositories, ensuring records are easily retrievable and maintained according to retention policies.
• Coordinate secure storage, filing, and disposal of confidential healthcare records in accordance with HIPAA and company policies.
• Monitor incoming document volumes and ensure timely processing to support audit deadlines.
• Coordinate outbound shipping of audit materials and provider correspondence as needed.

• Prepare, assemble, and distribute audit-related correspondence, including over payment demand letters, provider notifications, and client communications.
• Ensure mailings are completed accurately, on schedule, and in compliance with client-specific requirements.
• Track correspondence status and maintain logs of outbound communications.
• Support the collection, organization, and routing of provider responses and supporting documentation.

• Assist Data Mining Analysts with the preparation of client-facing deliverables, including report compilation and document formatting.
• Maintain organized file…