Remote Payment Integrity Clinical Review Specialist
La Crosse, La Crosse County, Wisconsin, 54602, USA
Listed on 2026-10-16
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Science
Healthcare Compliance
Optum serves as a Payment Integrity Clinical Review Specialist, focusing on identifying fraud, waste, and abuse in healthcare claims and audits. Remote work is available nationwide with in-office requirement only for certain regions, ensuring compliance with federal guidelines.
The role emphasizes collaboration with PI teams, clinical record reviews, and interface with federal law enforcement, requiring RN licensure and CPC certification along with relevant experience.
We are seeking a motivated Remote Payment Integrity Clinical Review Specialist to join Optum in La Crosse, WI, United States.
This position is for the Remote Payment Integrity Clinical Review Specialist role at Optum.
Consider building your career as a Remote Payment Integrity Clinical Review Specialist at Optum.
The Remote Payment Integrity Clinical Review Specialist position in the Finance field is open for applications.
We have an opening for a Remote Payment Integrity Clinical Review Specialist in La Crosse, WI, United States within Finance.
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