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Pennsylvania Licensed Integrity Auditor

Job in Jackson, Hinds County, Mississippi, 39200, USA
Listing for: Virtual Vocations Inc
Full Time position
Listed on 2026-03-05
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
Job Description & How to Apply Below
Position: Pennsylvania Licensed Payment Integrity Auditor
A company is looking for a Payment Integrity Auditor to ensure accurate claims payment and uphold compliance through detailed chart reviews.

Key Responsibilities:

Perform medical chart reviews to ensure adherence to billing and claims payment policies Review inpatient charts for DRG assignment validation based on coding guidelines Collaborate with providers to resolve audit disputes and maintain audit documentation

Required Qualifications:

Bachelor's degree in a health care-related or business-related field preferred Current credentials of CPC, RN, or RHIT/RHIA/CCS Strong knowledge of medical terminology and ICD-10-CM/PCS coding guidelines Inpatient Medical Chart Review experience is required Understanding of regulatory requirements related to payment systems
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