Code Edit Professional, Payment Integrity

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Code Edit Professional, Payment Integrity based in the United States. This remote role offers an opportunity to support payment integrity initiatives that help improve claims accuracy and reduce healthcare costs. You’ll work across code editing processes, vendor platforms, claims systems, and data to help ensure effective payment integrity operations. The position combines stakeholder collaboration, data analysis, process management, and problem-solving in a fast-paced, metrics-driven environment. You’ll contribute to new code edit reviews, testing, implementation, and ongoing maintenance while helping resolve complex stakeholder inquiries. The role also provides opportunities to improve processes and strengthen collaboration with internal teams and external vendors. It’s well suited to an analytical professional who is detail-oriented, adaptable, and comfortable managing multiple priorities independently.