Payment Integrity Associate - Itemized Bill Review

Oscar Health(18 days ago)

RemoteFull TimeMedior$82,717 - $108,566Payment Integrity

About this role

The Associate, Payment Integrity, Itemized Bill Review at Oscar conducts detailed reviews of facility itemized bills to ensure claims are paid accurately and in compliance with payor contracts and coding standards. The role leverages expertise in billing, coding, and Oscar’s claims infrastructure to identify billing errors, recommend adjustments, and drive process improvements. The position is remote and reports to the Manager, Payment Integrity (Pre-Pay).

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Required Skills

Medical Coding
Bill Review
Coding Audit
Claims Analysis
UB-04
CPT
ICD-10
Reimbursement
SQL
Excel

+3 more

Qualifications

Bachelor's Degree
AAPC (CPC)
AAPC (COC)
AHIMA (CCS)
AHIMA (RHIT)
AHIMA (RHIA)

About Oscar Health

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Oscar Health is a technology-driven health insurance company offering individual, family, and Medicare plans in select U.S. markets. It pairs insurance coverage with consumer-focused digital tools — a mobile app, telemedicine, and dedicated care teams — to simplify enrollment, care navigation, and claims management. Using data and provider partnerships, Oscar emphasizes preventive care, personalized support, and greater cost transparency for members.